NATIONAL VISION, INC. (NPI# 1508804550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508804550 |
| Entity Type | Organization |
| Organization Name | NATIONAL VISION, INC. |
| Practice Address |
2424 Crater Lake Hwy Medford OR 97504-4181 |
| Mailing Address |
296 Grayson Hwy Lawrenceville GA 30046-5737 |
| Practice Telephone | 5417790362 |
| Mailing Telephone | 7708223600 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2011-05-02 |
| Authorized Official Name | SUSAN EDICK (MC ASST.) |
| Authorized Official Telephone | 6788923774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| 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 |
2424 CRATER LAKE HWY |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162691 | Julian Thomas Sonnenburg | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2020-07-23 |
| 1164064515 | Trey Austin Davenhill | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2019-10-16 |
| 1336659382 | Alexander Thomas Roe | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2017-10-04 |
| 1134555691 | Fatima Aboozar | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2013-09-16 |
| 1992144109 | Mark Lee Shuey | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2013-06-20 |
| 1922447119 | Kenneth F Hahn | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2013-06-20 |
| 1811262819 | Roberta Lee Hupp | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2012-03-09 |
| 1003842733 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629287032 | South Jersey Eye Physicians Pa | Eyewear Supplier (Equipment, not the service) | 103 Old Marlton Pike Ste 216, Medford, NJ 08055-8772 | 2007-05-22 |
| 1316091341 | Usv Optical Inc.. | Eyewear Supplier (Equipment, not the service) | 909 The Fellsway, Medford, MA 02155-4151 | 2007-01-23 |
| 1841356151 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 501 Medford Ctr, Medford S/c, Medford, OR 97504-6004 | 2006-12-29 |
| 1922183557 | Budd Optical | Eyewear Supplier (Equipment, not the service) | 175 Route 70 Ste 23, Medford, NJ 08055-2355 | 2006-10-25 |
| 1720170756 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 1600 North Riverside Avenue, Medford, OR 97501 | 2006-09-28 |
| 1093321747 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 278 Middlesex Ave, Medford, MA 02155-5066 | 2020-09-18 |
| 1649678616 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1740 Delta Waters Rd, Suite 100, Medford, OR 97504-9175 | 2014-12-08 |
| 1982879292 | Medical Eye Center Optical Inc | Eyewear Supplier (Equipment, not the service) | 815 E Main St, Medford, OR 97504-7133 | 2008-04-28 |
| 1396955001 | Jason M. Gilbert Mdpc | Eyewear Supplier (Equipment, not the service) | 101 Main Street, Suite 208, Medford, MA 02155 | 2007-05-23 |
| 1588724520 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4110 Mystic Valley Pkwy, Medford, MA 02155-6931 | 2006-12-11 |
| Find all providers in MEDFORD | ||||
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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.