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General NPI Number Information
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NPI Number | 1124244199
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Entity Type | Organization
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Legal Business Name | VISION CARE CENTER, LLC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/31/2017
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Provider Practice Location Address
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Address Line | 1208 AVE MIRAMAR
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City | ARECIBO
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State | PR
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Zip | 00612-2763
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Country | US
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Telephone | 787-878-9079
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Fax | 787-881-9079
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Provider Business Mailing Address
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Address Line | PO BOX 142565
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City | ARECIBO
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State | PR
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Zip | 00614-2565
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Country | US
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Telephone | 787-878-9079
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Fax | 787-881-9079
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAVIER OCASIO
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Credential | O.D.
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Telephone | 787-878-9079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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