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General NPI Number Information
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NPI Number | 1205365293
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Entity Type | Organization
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Legal Business Name | WENDEL VISION CARE PLLC
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4235 VETERAN DR
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City | GENESEO
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State | NY
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Zip | 14454-9442
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Country | US
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Telephone | 614-570-4015
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Fax |
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Provider Business Mailing Address
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Address Line | 151 SOUTH AVE
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City | HILTON
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State | NY
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Zip | 14468-1431
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Country | US
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Telephone | 614-570-4015
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIEST
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Name | DR. TODD ALAN WENDEL
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Credential | OD
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Telephone | 614-570-4015
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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 | 007631
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License Number State | NY
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