Basic Information
Provider Information
NPI: 1346672664
EntityType: 2
ReplacementNPI:  
OrganizationName: AMERICA'S BEST CONTACTS AND EYEGLASSES
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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: 5777 N UNIVERSITY DR
Address2:  
City: TAMARAC
State: FL
PostalCode: 333214616
CountryCode: US
TelephoneNumber: 9547217584
FaxNumber: 9547229198
Other Information
ProviderEnumerationDate: 08/09/2013
LastUpdateDate: 08/09/2013
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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