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General NPI Number Information
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NPI Number | 1104006816
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Entity Type | Organization
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Legal Business Name | LERNER VISION CARE, LLC
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 7101 WISCONSIN AVE STE 112
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City | BETHESDA
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State | MD
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Zip | 20814-4805
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Country | US
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Telephone | 301-913-0293
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Fax | 301-913-9264
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Provider Business Mailing Address
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Address Line | 7101 WISCONSIN AVE STE 112
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City | BETHESDA
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State | MD
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Zip | 20814-4805
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Country | US
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Telephone | 301-913-0293
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Fax | 301-913-9264
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. MARCIE MILLER LERNER
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Credential | O.D.
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Telephone | 301-913-0293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | TA1352
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License Number State | MD
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