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General NPI Number Information
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NPI Number | 1063836625
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Entity Type | Organization
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Legal Business Name | SCHOTT VISION CARE PA
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 600 S ORLANDO AVE SUITE 300
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City | MAITLAND
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State | FL
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Zip | 32751-5660
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Country | US
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Telephone | 407-647-2020
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Fax | 407-628-1216
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Provider Business Mailing Address
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Address Line | 600 S ORLANDO AVE SUITE 300
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City | MAITLAND
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State | FL
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Zip | 32751-5660
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Country | US
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Telephone | 407-647-2020
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Fax | 407-628-1216
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RYAN WAYNE SCHOTT
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Credential | O.D.
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Telephone | 407-647-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | OPC1011
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC4666
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License Number State | FL
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