National Vision INC

NPI #1629602313 in Blue Springs, Missouri

Provider Information

NPI Number: 1629602313
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Mar 3, 2020
Last Updated: Mar 3, 2020

Practice Location

Address: 1332 NE CORONADO DR
City: Blue Springs
State: Missouri
ZIP Code: 64014-2956
Phone: (816) 427-9890

Authorized Official

Name: LEAHANN RENE VAUGHN
Title: MANAGED CARE NETWORK SPRVSR
Phone: (470) 448-2782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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