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General NPI Number Information
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NPI Number | 1154077857
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Entity Type | Organization
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Legal Business Name | VISIONWORKS INC
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 5040 HIGHWAY 121 STE 400
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City | LEWISVILLE
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State | TX
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Zip | 75056-2621
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Country | US
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Telephone | 469-312-0625
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Fax | 214-494-6160
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Provider Business Mailing Address
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Address Line | 175 E HOUSTON ST
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2299
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Country | US
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Telephone | 800-340-0129
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Fax | 210-524-6587
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | DOLSIE MCDONALD
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Credential |
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Telephone | 726-444-4069
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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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