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General NPI Number Information
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NPI Number | 1063727220
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Entity Type | Organization
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Legal Business Name | AMERICA'S VISION, L.L.C.
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 743 FRANKLIN AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4524
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Country | US
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Telephone | 516-746-2360
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Fax | 516-294-1937
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Provider Business Mailing Address
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Address Line | 743 FRANKLIN AVE
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City | GARDEN CITY
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State | NY
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Zip | 11530-4524
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Country | US
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Telephone | 516-746-2360
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Fax | 516-294-1937
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT L DERCO
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Credential | O.D.
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Telephone | 516-746-2360
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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 | VUT-4532-1
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License Number State | NY
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