National Vision INC

NPI #1811579592 in St Johns, Florida

Provider Information

NPI Number: 1811579592
Entity Type: Organization
Organization Name: National Vision INC
Primary Specialty: Optometrist
Enumeration Date: Apr 22, 2021
Last Updated: Apr 22, 2021

Practice Location

Address: 675 DURBIN PAVILION DR STE 107
City: St Johns
State: Florida
ZIP Code: 32259-4141
Phone: (904) 417-9243

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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