National Vision INC

NPI #1598359416 in Pleasant Prairie, Wisconsin

Provider Information

NPI Number: 1598359416
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Feb 22, 2021
Last Updated: Feb 22, 2021

Practice Location

Address: 10347 77TH ST STE 618
City: Pleasant Prairie
State: Wisconsin
ZIP Code: 53158-1137
Phone: (262) 612-1171

Authorized Official

Name: LEAHANN RENE VAUGHN
Title: DIRECTOR OF MANAGED CARE SALES
Phone: (470) 448-2782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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