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General NPI Number Information
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NPI Number | 1043561244
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Entity Type | Organization
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Legal Business Name | LEAN VISIONS, LLC
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7708 S CICERO AVE SUITE 5A
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City | BURBANK
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State | IL
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Zip | 60459
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Country | US
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Telephone | 708-346-0624
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Fax | 708-422-0309
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Provider Business Mailing Address
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Address Line | 7708 S CICERO AVE SUITE 5A
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City | BURBANK
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State | IL
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Zip | 60459
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Country | US
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Telephone | 708-346-0624
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Fax | 708-422-0309
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Authorized Official
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Title or Position | OWNER
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Name | MANOJ M ABRAHAM
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Credential | OD
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Telephone | 708-346-0624
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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 | 046.009956
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License Number State | IL
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