NPI 1336093616 · live from the CMS NPI Registry
National Vision, INC.
Optometrist in Dover, DE. National Provider Identifier 1336093616, active.
NPI record
| NPI | 1336093616 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 442 13th St, Dover, DE 19902 |
| Practice phone | 302-730-8784 |
| Mailing address | 2435 Commerce Ave Bldg 2200, Duluth, GA 30096 |
| Enumerated | February 24, 2026 |
| Last updated | February 24, 2026 |
| Authorized official | Leahann Vaughn, Managed Care Director |
| Other names | Vista Optical In Select Military Exchanges |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.