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General NPI Number Information
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NPI Number | 1134129372
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Entity Type | Organization
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Legal Business Name | AC VISIONCARE,PC
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 3375 CARLISLE RD SUITE C
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City | GARDNERS
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State | PA
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Zip | 17324-9603
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Country | US
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Telephone | 717-677-9141
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Fax | 717-677-4360
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Provider Business Mailing Address
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Address Line | 3375 CARLISLE RD SUITE C
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City | GARDNERS
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State | PA
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Zip | 17324-9603
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Country | US
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Telephone | 717-677-9141
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Fax | 717-677-4360
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DON E STOKEN
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Credential | OD
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Telephone | 717-677-9141
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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 | PA
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