Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

National Vision Optical

Organization Optometrist · NPI 1649619511

National Vision Optical is an Optometrist in Kirtland, New Mexico. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

7901 Gibson Blvd Bldg 20176
Kirtland, NM 87117
Phone: (505) 268-0015
Fax: (505) 767-7158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X
Optician Taxonomy 156FX1800X

Record details

NPI number1649619511
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNational Vision, Inc
Authorized official Leahann Vaughn — Director · (470) 448-2782
NPI enumeratedJune 24, 2013
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021
Mailing address296 Grayson Hwy, Lawrenceville, GA 30046-5737