NATIONAL VISION, INC. (NPI# 1770013369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770013369 |
| Entity Type | Organization |
| Organization Name | NATIONAL VISION, INC. |
| Other Organization Name | VISTA OPTICAL (MILITARY) |
| Practice Address |
Bldg 9214 Fort Rucker AL 36362 |
| Mailing Address |
2435 Commerce Ave Bldg 2200 Duluth GA 30096-4980 |
| Practice Telephone | 3345039603 |
| Mailing Telephone | 8005715202 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | ERIC ANTOINE (MANAGED CARE) |
| 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 |
|---|---|
| Vista Optical (Military) | 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 |
| Indiana Business Entities | NATIONAL VISION, INC. | 2435 Commerce Avenue, Suite 2200, Duluth, GA 30096 |
| Street Address |
BLDG 9214 |
| City | FORT RUCKER |
| State | AL |
| Zip Code | 36362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| 1770830960 | Dewayne Carl Haverstick | Emergency Medical Technician, Paramedic | 453 South Novacel Dr, Fort Rucker, AL 36362 | 2012-08-07 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649823014 | Kelley's Optical | Technician/Technologist | 11821 S Memorial Pkwy, Huntsville, AL 35803-3333 | 2019-07-24 |
| 1992265243 | Kelley Cornelius | Technician/Technologist | 7811 Smoke Rise Rd Se, Huntsville, AL 35802-3915 | 2019-03-22 |
| 1922575448 | National Vision Inc | Technician/Technologist | 1320 Mcfarland Blvd E Ste 560, Tuscaloosa, AL 35404-5899 | 2018-11-02 |
| 1427540582 | National Vision, Inc. | Technician/Technologist | 8141 Highway 72 W Ste I, Madison, AL 35758-9563 | 2018-06-05 |
| 1295259828 | Lavell Edward Brooks Sr. | Technician/Technologist | 234 N Prairie Street, Union Springs, AL 36089 | 2017-07-25 |
| 1891237103 | Stephen A Michael | Technician/Technologist | 1805 N Mckenzie St, Foley, AL 36535-2326 | 2016-11-17 |
| 1740736941 | Allen Tolbert | Technician/Technologist | 304 N Prairie St, Union Springs, AL 36089 | 2016-08-28 |
| 1366802175 | National Vision, Inc. | Technician/Technologist | 2798 John Hawkins Pkwy, Ste 112, Hoover, AL 35244-3109 | 2016-03-07 |
| 1588031413 | Chris Montz | Technician/Technologist | 23050 Mcauliffe Dr, Robertsdale, AL 36567-3122 | 2015-08-26 |
| 1679964118 | Wal-mart Stores East, Lp | Technician/Technologist | 14595 Hwy 231-431 N, Hazel Green, AL 35750 | 2015-02-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT RUCKER |
| Zip Code | 36362 |
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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.