Basic Information
Provider Information
NPI: 1255750618
EntityType: 2
ReplacementNPI:  
OrganizationName: AMERICA'S BEST CONTACTS & EYEGLASSES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 296 GRAYSON HWY
Address2:  
City: LAWRENCEVILLE
State: GA
PostalCode: 300465737
CountryCode: US
TelephoneNumber: 7708223600
FaxNumber:  
Practice Location
Address1: 8245 W FLAGLER ST
Address2:  
City: MIAMI
State: FL
PostalCode: 331442027
CountryCode: US
TelephoneNumber: 3056037882
FaxNumber: 7864315768
Other Information
ProviderEnumerationDate: 04/14/2014
LastUpdateDate: 04/14/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: VAUGHN
AuthorizedOfficialFirstName: LEAHANN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: MANAGED CARE COORDINATOR
AuthorizedOfficialTelephone: 7708223600
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: NATIONAL VISION, INC.
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
156FX1800X  Y193400000X SINGLE SPECIALTY GROUPEye and Vision Services ProvidersTechnician/TechnologistOptician

No ID Information.


Home