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General NPI Number Information
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NPI Number | 1053544809
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Entity Type | Organization
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Legal Business Name | INVISION EYECARE, LLC.
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 03/17/2010
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Provider Practice Location Address
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Address Line | 620 S FORT HOOD ST STE B
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City | KILLEEN
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State | TX
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Zip | 76541-6808
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Country | US
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Telephone | 254-634-8338
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Fax | 254-628-9120
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Provider Business Mailing Address
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Address Line | 2924 S 31ST ST
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City | TEMPLE
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State | TX
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Zip | 76502-1861
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Country | US
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Telephone | 254-771-3937
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Fax | 254-449-7716
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW KLEIN
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Credential |
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Telephone | 260-402-4775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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