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General NPI Number Information
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NPI Number | 1013057744
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Entity Type | Organization
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Legal Business Name | VISION MASTERS INC
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 3100 MERIDIAN PARKE DR SUITE J
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City | GREENWOOD
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State | IN
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Zip | 46142-9427
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Country | US
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Telephone | 317-888-9755
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Fax | 317-888-9768
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Provider Business Mailing Address
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Address Line | 3100 MERIDIAN PARKE DR SUITE J
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City | GREENWOOD
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State | IN
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Zip | 46142-9427
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Country | US
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Telephone | 317-888-9755
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Fax | 317-888-9768
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL J FEDERSPILL
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Credential |
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Telephone | 317-888-9755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | IN
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