National Vision Optical

NPI #1649619511 in Kirtland, New Mexico

Provider Information

NPI Number: 1649619511
Entity Type: Organization
Organization Name: National Vision Optical
Subpart: Yes (part of a larger organization)
Parent Organization: NATIONAL VISION, INC.
Primary Specialty: Optometrist
Enumeration Date: Jun 24, 2013
Last Updated: Sep 17, 2021

Practice Location

Address: 7901 GIBSON BLVD
Address 2: BLDG 20176
City: Kirtland
State: New Mexico
ZIP Code: 87117
Phone: (505) 268-0015

Authorized Official

Name: LEAHANN RENE VAUGHN
Title: DIRECTOR
Phone: (470) 448-2782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X
Optometrist	152W00000X	Primary

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