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General NPI Number Information
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NPI Number | 1164763975
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Entity Type | Organization
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Legal Business Name | TRUEVISION EYE CARE OD PA
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 1004 LOWER SHILOH WAY SUITE 105
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City | MORRISVILLE
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State | NC
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Zip | 27560-5426
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Country | US
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Telephone | 919-263-2499
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Fax | 919-300-5716
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Provider Business Mailing Address
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Address Line | 1004 LOWER SHILOH WAY STE 105
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City | MORRISVILLE
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State | NC
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Zip | 27560-5431
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Country | US
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Telephone | 919-472-4070
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Fax | 919-472-4069
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Authorized Official
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Title or Position | OWNER, OPTOMETRIST
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Name | MRS. ALECIA L BARNES
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Credential | O.D.
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Telephone | 919-649-8858
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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 | 1644
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License Number State | NC
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