Basic Information
Provider Information
NPI: 1265856934
EntityType: 2
ReplacementNPI:  
OrganizationName: AMERICA'S BEST CONTACTS & EYEGLASSES
LastName:  
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Mailing Information
Address1: 296 GRAYSON HWY
Address2:  
City: LAWRENCEVILLE
State: GA
PostalCode: 300465737
CountryCode: US
TelephoneNumber: 7708223600
FaxNumber:  
Practice Location
Address1: 8101 NE PARKWAY DR
Address2:  
City: VANCOUVER
State: WA
PostalCode: 986627911
CountryCode: US
TelephoneNumber: 3603146900
FaxNumber: 3604339180
Other Information
ProviderEnumerationDate: 02/14/2014
LastUpdateDate: 02/14/2014
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: VAUGHN
AuthorizedOfficialFirstName: LEAHANN
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AuthorizedOfficialTitleorPosition: MANAGED CARE COORDINATOR
AuthorizedOfficialTelephone: 7708223600
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: NATIONAL VISION, INC.
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
156FX1800X  Y193400000X SINGLE SPECIALTY GROUPEye and Vision Services ProvidersTechnician/TechnologistOptician

No ID Information.


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