NATIONAL VISION, INC. (NPI# 1699720912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699720912 |
| Entity Type | Organization |
| Organization Name | NATIONAL VISION, INC. |
| Practice Address |
31700 Grape St Lake Elsinore CA 92532-9785 |
| Mailing Address |
Po Box 951336 Dallas TX 75395-1336 |
| Practice Telephone | 9512453606 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | ANNA PURCELL (PROVIDER NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 7008224245 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DX006016F | 05 |
| 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 |
31700 GRAPE ST |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92532-9785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219949 | Thuy K Tong | Pharmacist | 31700 Grape St, Lake Elsinore, CA 92532-9785 | 2020-03-09 |
| 1831651983 | Dr. Annie Le Od Inc | Optometrist | 31700 Grape St, Lake Elsinore, CA 92532-9785 | 2019-04-05 |
| 1427467794 | Purvi Amin | Pharmacist | 31700 Grape St, Lake Elsinore, CA 92532-9785 | 2014-08-12 |
| 1538577689 | Christy Kim | Pharmacist | 31700 Grape St, Lake Elsinore, CA 92532-9785 | 2014-07-31 |
| 1952439994 | Kathleen Ann Halsey | Pharmacist | 31700 Grape St, Lake Elsinore, CA 92532-9785 | 2007-03-01 |
| 1972520385 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 31700 Grape St, Lake Elsinore, CA 92532-9785 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817842 | The Social Work Action Group | Family Medicine | 28497 California 74 Suite 113, Lake Elsinore, CA 92532 | 2019-12-06 |
| 1720477235 | Skyler Jeffrey Liatti | Dentist | 29273 Central Ave Ste A, Lake Elsinore, CA 92532 | 2015-01-21 |
| 1386068310 | Michael D Boucher | Physician Assistant | 29997 Canyon Hills Rd Ste 1604, Lake Elsinore, CA 92532 | 2014-02-11 |
| 1902083595 | Joong Gu Han | Acupuncturist | 53116 Tropical Street, Lake Elsinore, CA 92532 | 2008-01-25 |
| 1063632123 | Taba Apostu & Apostu Professional Dental Corp | Dentist | 361 Railroad Canyon Rd, #a, Lake Elsinore, CA 92532 | 2007-04-30 |
| 1164584793 | Stephen Gerard Schroeder | Optometrist | 25321 Railroad Canyon Dr., #503, Lake Elsinore, CA 92532 | 2006-12-13 |
| 1194821041 | Derek B. Hauser | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2006-09-16 |
| 1912017567 | Costco Wholesale Corporation | Pharmacy | 29315 Central Ave, Lake Elsinore, CA 92532 | 2006-08-30 |
| 1952331217 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 29985 Canyon Hills Road, Lake Elsinore, CA 92532 | 2006-07-03 |
| 1467709642 | Matthew Randall Kanter | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2012-08-07 |
| Find all providers in zip 92532 | ||||
| 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 |
|---|---|---|---|---|
| 1710377858 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 29315 Central Ave, Lake Elsinore, CA 92532-2212 | 2015-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902488 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 300 E Colorado Blvd Ste 128, Pasadena, CA 91101-2267 | 2020-11-02 |
| 1700485562 | Vision Faire Optometry, Inc. A Professional Optometric Corporation | Eyewear Supplier (Equipment, not the service) | 4213 Dale Rd Ste A-2, Modesto, CA 95356-8505 | 2020-10-22 |
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1295333029 | Tiger & Lion Inc | Eyewear Supplier (Equipment, not the service) | 1251 S Beach Blvd Ste F, La Habra, CA 90631-6397 | 2020-10-14 |
| 1245866565 | Joshua Adolfo Velasquez | Eyewear Supplier (Equipment, not the service) | 849 N Ridgewood Pl, Los Angeles, CA 90038-4302 | 2020-03-18 |
| 1952948424 | Luvc LLC | Eyewear Supplier (Equipment, not the service) | 2223 Carlton Ave, Pomona, CA 91768-1015 | 2019-12-04 |
| 1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
| 1184270746 | Nueyes Technologies Inc | Eyewear Supplier (Equipment, not the service) | 120 Newport Center Dr # 232, Newport Beach, CA 92660-6916 | 2019-08-09 |
| 1881248102 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 12182 1/2 Ventura Blvd, Studio City, CA 91604-2517 | 2019-07-25 |
| 1730732363 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1628 Redwood Hwy Spc D017, Corte Madera, CA 94925-1248 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ELSINORE |
| Zip Code | 92532 |
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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.