NPI 1649864646

National Vision INC

Organisation Optometrist Ammon, ID

Practice location

Address: 3421 South 25th Street East, Ammon, ID 83406
Phone: (986) 497-6251
Mailing address: 2435 Commerce Ave, Duluth, GA 30096-4980

Authorised official

Name: Leahann Rene Vaughn
Title: Director of Managed Care Sales
Phone: (470) 448-2782

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Idaho →

Registry record

NPI: 1649864646
Entity type: Organization
NPI issued: 22 Feb 2021
Record last updated: 22 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.