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NPI 1043794092

NPI 1043794092 : VISION CONSULTANTS : RENO, NV

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General NPI Number Information
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    NPI Number           |    1043794092
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    Entity Type          |    Organization 
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    Legal Business Name  |    VISION CONSULTANTS 
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Dates
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    Enumeration Date     |    09/15/2018
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    Last Update Date     |    10/15/2018
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Provider Practice Location Address
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    Address Line         |    6225 SHARLANDS AVE 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89523-2785
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    Country              |    US
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    Telephone            |    775-683-4200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10580 N MCCARRAN BLVD STE 115-255 
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    City                 |    RENO
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    State                |    NV
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    Zip                  |    89503-2059
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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    |    PRESIDENT
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    Name                 |    DR. GREGORY J FALDOWSKI 
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    Credential           |    OD
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    Telephone            |    760-920-2920
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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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