NATIONAL VISION INC
NPI 1023848652
Optometrist in Memphis, TN

NPI Status: Active since August 07, 2024

Contact Information

5078 PARK AVE
MEMPHIS, TN
ZIP 38117
Phone: (901) 390-2680

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  • Organization
  • Optometrist
  • CLIA Number: 44D0982826
  • CLIA Cert. Type: Health Fair
  • CLIA Exp. Date: 02-05-2027

About NATIONAL VISION INC

This page provides the complete NPI Profile along with additional information for National Vision Inc, a provider established in Memphis, Tennessee operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1023848652 assigned on August 2024. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated May 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Leahann Rene Vaughn (Mdg Care Sales)

NPI
1023848652
Provider Legal Name
NATIONAL VISION INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
5078 PARK AVE MEMPHIS, TN 38117
Location Phone
(901) 390-2680
Mailing Address
2435 COMMERCE AVE BLDG 2200 DULUTH, GA 30096
Mailing Phone
(678) 892-3760
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-07-2024
Last Update Date
05-27-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LEAHANN RENE VAUGHN

Authorized Official Title
MDG CARE SALES
Authorized Official Phone
(470) 448-2782

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0982826
Facility Type
Health Fair
Certificate Effective Date
February 06, 2025
Certificate Expiration Date
February 05, 2027
Laboratory Director
MABLE BARRINGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to National Vision Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023848652
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
204316416610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 6 + 4 + 1 + 6 + 6 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1023848652 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023848652, enumerated as an "organization" on August 07, 2024.

The provider is located at 5078 PARK AVE MEMPHIS, TN 38117 and the phone number is (901) 390-2680.

Optometrist with taxonomy code 152W00000X.