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General NPI Number Information
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NPI Number | 1194020800
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Entity Type | Organization
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Legal Business Name | VISION & EYE HEALTHCARE. LLC
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | 5560 MCCLELLAN BLVD
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City | ANNISTON
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State | AL
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Zip | 36206-1664
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Country | US
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Telephone | 256-820-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 101 AVERY DR
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City | ANNISTON
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State | AL
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Zip | 36205-3606
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Country | US
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Telephone | 256-225-1689
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JOANN MEADOWS TYSON
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Credential | O.D.
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Telephone | 256-225-1689
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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 | S-C04-TA-823
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License Number State | AL
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