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General NPI Number Information
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NPI Number | 1083912588
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Entity Type | Organization
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Legal Business Name | VIEWPOINT VISION CARE LLC
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Dates
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Enumeration Date | 03/08/2011
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Last Update Date | 05/26/2011
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Provider Practice Location Address
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Address Line | 13675 23 MILE ROAD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-2906
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Country | US
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Telephone | 586-532-1600
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Fax | 586-532-8565
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Provider Business Mailing Address
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Address Line | 13675 23 MILE ROAD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-2906
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Country | US
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Telephone | 586-532-1600
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Fax | 586-532-8565
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY D. SPITLER
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Credential | O.D.
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Telephone | 586-532-1600
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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 | 4901003673
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License Number State | MI
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