Provider Demographics
NPI:1386077832
Name:NATIONAL VISION ADMINISTRATORS, LLC
Entity type:Organization
Organization Name:NATIONAL VISION ADMINISTRATORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:BARTHOLOMEW
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCESCONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-219-0400
Mailing Address - Street 1:3131 PRINCETON PIKE
Mailing Address - Street 2:STE 103, BUILDING 2B
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-2201
Mailing Address - Country:US
Mailing Address - Phone:609-219-0400
Mailing Address - Fax:609-219-0236
Practice Address - Street 1:1200 ROUTE 46
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2440
Practice Address - Country:US
Practice Address - Phone:609-219-0400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier