National Vision INC

NPI #1649864646 in Ammon, Idaho

Provider Information

NPI Number: 1649864646
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Feb 22, 2021
Last Updated: Feb 22, 2021

Practice Location

Address: 3421 SOUTH 25TH STREET EAST
City: Ammon
State: Idaho
ZIP Code: 83406
Phone: (986) 497-6251

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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