National Vision, INC.
Eyewear Supplier (Equipment, not the service) in Phoenix, AZ. Organization (NPI-2).
NPI number1104870195
StatusActive
Last updated in NPPESJun 16, 2008
Details
- NPI
- 1104870195
- Entity type
- Organization (NPI-2)
- Legal business name
- National Vision, INC.
- Organization subpart
- No
- Enumeration date
- May 22, 2006
- Last updated
- Jun 16, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
1607 W Bethany Home RdPhoenix, AZ 85015-2507
Phone 602-249-7272
Mailing address
Po Box 951336Dallas, TX 75395-1336
Authorized official
Anna Purcell
Provider Network Administrator
7708224245
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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