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General NPI Number Information
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NPI Number | 1154032456
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Entity Type | Organization
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Legal Business Name | FOCUS VISION DEVELOPMENT OPTOMETRY PLLC
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 240 TOWNSHIP BLVD STE 60
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City | CAMILLUS
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State | NY
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Zip | 13031-1793
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Country | US
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Telephone | 315-660-3550
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Fax |
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Provider Business Mailing Address
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Address Line | 4933 BULRUSH RD
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City | SYRACUSE
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State | NY
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Zip | 13215-1271
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Country | US
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Telephone | 315-660-3550
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KELLY CHAJKA
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Credential | OD
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Telephone | 315-660-3550
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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 |
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