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General NPI Number Information
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NPI Number | 1083502546
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Entity Type | Organization
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Legal Business Name | VALET VISION LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 12905 E 96TH ST N
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City | OWASSO
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State | OK
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Zip | 74055-4719
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Country | US
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Telephone | 918-310-2020
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Fax | 918-503-2020
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Provider Business Mailing Address
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Address Line | 9317 N 133RD EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-4742
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Country | US
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Telephone | 918-310-2020
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Fax |
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Authorized Official
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Title or Position | OWNER / OPTOMETRIST
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Name | NATHAN KUYKENDALL
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Credential | OD
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Telephone | 918-310-2020
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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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