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General NPI Number Information
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NPI Number | 1023873486
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Entity Type | Organization
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Legal Business Name | OAKWOOD VISION INC
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 2914 OAKWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33020-7122
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Country | US
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Telephone | 954-921-5330
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 600126
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-0126
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRUCE FLEISCHER
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Credential |
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Telephone | 786-317-3773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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