NATIONWIDE VISION CENTER, LLC (NPI# 1316425531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316425531 |
| Entity Type | Organization |
| Organization Name | NATIONWIDE VISION CENTER, LLC |
| Practice Address |
85 Lake Havasu Ave N Suite 108 Lake Havasu City AZ 86403-5698 |
| Mailing Address |
220 N Mckemy Ave Chandler AZ 85226-2651 |
| Practice Telephone | 9284208810 |
| Mailing Telephone | 4809611865 |
| Mailing Fax Number | 4808938172 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | VINCENT HAYES (SECRETARY AND EXECUTIVE VP) |
| Authorized Official Telephone | 4808354470 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1487131645 | Nationwide Vision Center, LLC | Technician/Technologist | 2054 E Bloomingdale Ave, Valrico, FL 33596 | 2018-07-20 |
| 1093202483 | Nationwide Vision Center, LLC | Technician/Technologist | 2222 E Camelback Rd Ste 250p, Phoenix, AZ 85016-3427 | 2018-04-20 |
| 1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1558885509 | Nationwide Vision Center, LLC | Technician/Technologist | 3875 Us Highway 301 S Ste 5, Riverview, FL 33578-3572 | 2017-08-01 |
| 1972027928 | Nationwide Vision Center, LLC | Technician/Technologist | 2679 Gulf To Bay Blvd Ste 560&570, Clearwater, FL 33759-4947 | 2017-08-01 |
| 1609390152 | Nationwide Vision Center, LLC | Technician/Technologist | 18915 State Road 54 Ste A, Lutz, FL 33558-5268 | 2017-07-26 |
| 1396266698 | Nationwide Vision Center, LLC | Technician/Technologist | 6572 E Grant Rd Ste 150, Tucson, AZ 85715-3810 | 2017-06-28 |
| 1447770490 | Nationwide Vision Center, LLC | Technician/Technologist | 95 S Idaho Rd Ste 170, Apache Junction, AZ 85119-0007 | 2017-06-21 |
| Street Address |
85 LAKE HAVASU AVE N SUITE 108 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386819142 | Wal-mart Store, Inc. | Technician/Technologist | 5695 Hwy 95 N, Lake Havasu City, AZ 86403-9646 | 2008-04-23 |
| 1336593656 | Nationwide Vision Center, Inc. | Technician/Technologist | 5651 Highway 95 N, Inside Jcpenney, Lake Havasu City, AZ 86404-9646 | 2016-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827389 | Sabina Krasnov | Technician/Technologist | 8300 N Hayden Rd Ste B112, Scottsdale, AZ 85258-2538 | 2020-09-30 |
| 1093351611 | Nationwide Vision Center, LLC | Technician/Technologist | 7650 S 59th Ave, Suite 101, Laveen, AZ 85339 | 2019-11-19 |
| 1326519125 | National Vision Inc | Technician/Technologist | 7470 W Bell Rd Ste 206, Glendale, AZ 85308-8532 | 2018-12-06 |
| 1932677713 | National Vision Inc | Technician/Technologist | 9340 W Northern Ave Ste 120, Glendale, AZ 85305-1148 | 2018-11-09 |
| 1871074971 | National Vision, Inc. | Technician/Technologist | 7670 S Priest Dr, Tempe, AZ 85284-1001 | 2018-08-27 |
| 1790264695 | Hossain Basiri | Technician/Technologist | 15090 N Northsight Blvd Ste 105, Scottsdale, AZ 85260-2609 | 2018-08-10 |
| 1134608631 | National Vision Inc | Technician/Technologist | 4320 E Cactus Rd, Phoenix, AZ 85032-7636 | 2018-08-07 |
| 1033695978 | National Vision Inc | Technician/Technologist | 2651 N 44th St Ste 2, Phoenix, AZ 85008-1574 | 2018-07-13 |
| 1659866564 | National Vision, Inc. | Technician/Technologist | 1438 S Power Rd Ste 101, Mesa, AZ 85206-3729 | 2018-06-25 |
| 1093202483 | Nationwide Vision Center, LLC | Technician/Technologist | 2222 E Camelback Rd Ste 250p, Phoenix, AZ 85016-3427 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on NATIONWIDE VISION CENTER, LLC.
| 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.