Organization · Type 2 NPI

National Vision, Inc.

Eyewear Supplier · Rockford, IL

NPI number 1417003138 Active

Practice location

5466 East State Street
Rockford, IL 61108

Call (815) 398-8703 Map

Fax (815) 398-2952

Mailing address

296 Grayson Highway
Lawrenceville, GA 30046

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier	332H00000X	200317665 (IL)
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Other eyewear supplier providers in Rockford

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NPI record

NPI: 1417003138
Entity type: Organization (Type 2)
Issued: Jan 26, 2007
Last updated: Jan 2, 2010
Status: Active
Subpart: Yes of National Vision, Inc.

Other names

<unavail>
Eyeglass World · doing business as

Authorized official

Mr. Robert W. Stein
Sr. Vice President, Professional Se
(770) 822-3600

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417003138

National Vision, Inc.'s National Provider Identifier is 1417003138, issued on Jan 26, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Rockford, IL. The record was last updated on Jan 2, 2010.