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General NPI Number Information
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NPI Number | 1083898134
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Entity Type | Organization
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Legal Business Name | NEW VISION CENTER, PA
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 2930 S 1ST ST STE 700
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City | GARLAND
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State | TX
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Zip | 75041-3452
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Country | US
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Telephone | 972-278-0154
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Fax | 972-278-8327
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Provider Business Mailing Address
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Address Line | 2930 S 1ST ST STE 700
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City | GARLAND
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State | TX
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Zip | 75041-3452
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Country | US
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Telephone | 972-278-0154
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Fax | 972-278-8327
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LANCE M CHONG
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Credential | O.D.
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Telephone | 972-278-0154
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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 | 05771TG
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License Number State | TX
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