NATIONAL VISION, INC. (NPI# 1205339199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205339199 |
| Entity Type | Organization |
| Organization Name | NATIONAL VISION, INC. |
| Other Organization Name | EYEGLASS WORLD |
| Practice Address |
10734 Trinity Pkwy Ste C Stockton CA 95219-7232 |
| Mailing Address |
2435 Commerce Ave Bldg 2200 Duluth GA 30096-4980 |
| Practice Telephone | 2097156864 |
| Practice Fax Number | 2094775910 |
| Mailing Telephone | 8005715202 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Authorized Official Name | BRIAN MATOS (MANAGED CARE SALES COORDINATOR) |
| Authorized Official Telephone | 6788923771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Eyeglass World | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871074971 | National Vision, Inc. | Technician/Technologist | 7670 S Priest Dr, Tempe, AZ 85284-1001 | 2018-08-27 |
| 1962997627 | National Vision, Inc. | Technician/Technologist | 591 River Hwy Ste P, Mooresville, NC 28117-6979 | 2018-06-26 |
| 1043705817 | National Vision, Inc. | Technician/Technologist | 70 S 500 W, Bountiful, UT 84010-8727 | 2018-06-25 |
| 1710472584 | National Vision, Inc. | Technician/Technologist | 14089 Sw 88th St, Miami, FL 33186-4002 | 2018-06-25 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1659866564 | National Vision, Inc. | Technician/Technologist | 1438 S Power Rd Ste 101, Mesa, AZ 85206-3729 | 2018-06-25 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
| 1720571615 | National Vision, Inc. | Technician/Technologist | 6931 Grand Ave Ste E2, Gurnee, IL 60031-1610 | 2018-06-14 |
| 1174016943 | National Vision, Inc. | Technician/Technologist | 15015 Main St Ste 104, Bellevue, WA 98007-5229 | 2018-06-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | NATIONAL VISION, INC. | 2435 Commerce Avenue, Building 2200, Duluth, GA 30096 |
| Iowa Business Entities | NATIONAL VISION, INC. | 2435 Commerce Ave., Building 2200, Duluth, GA 30096 |
| Colorado Business Entities | NATIONAL VISION, INC. | 2435 Commerce Ave., Building 2200, Duluth, GA 30096 |
| Connecticut Business Registrations | NATIONAL VISION, INC. | 2435 Commerce Avenue, Building 2200, Duluth, GA 30096 |
| New York State Corporations | NATIONAL VISION, INC. | 80 State Street, Albany, New York 12207 |
| Oregon Corporations, Companies and Business Names | NATIONAL VISION, INC. | 2435 Commerce Avenue, Building 2200, Duluth, GA 30096 |
| Washington State Corporations | NATIONAL VISION, INC. | 2435 Commerce Ave, Building 2200, Duluth, GA 30096-4980 |
| Street Address |
10734 TRINITY PKWY STE C |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-7232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366648354 | Lynda Diane Winter | Technician/Technologist | 622 Lincoln Ctr, Stockton, CA 95207-2640 | 2007-06-26 |
| 1447472162 | Ronald Francis Lewis | Technician/Technologist | 2301 W Alpine Ave, Stockton, CA 95204-2701 | 2007-05-03 |
| 1538381587 | Jon Kenneth Meyers | Technician/Technologist | 858 W Benjamin Holt Dr, Stockton, CA 95207-3652 | 2007-05-02 |
| 1871854000 | Wal-mart Stores Inc | Technician/Technologist | 10355 Trinity Pkwy, Stockton, CA 95219-7243 | 2012-06-05 |
| 1770671240 | Walmart Stores, Inc. | Technician/Technologist | 3223 E Hammer Ln, Stockton, CA 95212-2815 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374744 | John Dibos | Technician/Technologist | 343 W Felicita Ave Ste 10, Escondido, CA 92025-6515 | 2020-10-20 |
| 1720686140 | Lens 4 Less Optical, Inc. | Technician/Technologist | 343 W Felicita Ave # 10, Escondido, CA 92025-6515 | 2020-10-16 |
| 1023620648 | Blanca Estela Maldonado | Technician/Technologist | 671 E Cooley Dr Ste 102, Colton, CA 92324-4014 | 2020-08-17 |
| 1619598406 | Heather Siu Shum | Technician/Technologist | 200 E Garvey Ave Ste 109, Monterey Park, CA 91755-1859 | 2020-05-03 |
| 1932738481 | Enrique Metta Fallena | Technician/Technologist | 651 Palomar St Ste A17, Chula Vista, CA 91911-2663 | 2020-04-06 |
| 1629603659 | Linh Lai | Technician/Technologist | 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 | 2020-03-10 |
| 1548895998 | Randy Liu | Technician/Technologist | 1049 Capen Ave, Walnut, CA 91789-3912 | 2020-03-05 |
| 1780214403 | Gary Alan Bates | Technician/Technologist | 2540 Zanella Way Ste 10, Chico, CA 95928-7194 | 2020-01-22 |
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1609413665 | Yan Zlatin | Technician/Technologist | 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 | 2019-12-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.