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General NPI Number Information
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NPI Number | 1215003249
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Entity Type | Organization
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Legal Business Name | PRECISION EYEWEAR
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 110 PROFESSIONAL PARK DR STE 6
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City | BLACKSBURG
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State | VA
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Zip | 24060-6665
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Country | US
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Telephone | 540-552-4588
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Fax | 540-552-4612
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Provider Business Mailing Address
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Address Line | 110 PROFESSIONAL PARK DR STE 6
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City | BLACKSBURG
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State | VA
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Zip | 24060-6665
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Country | US
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Telephone | 540-552-4588
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Fax | 540-552-4612
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Authorized Official
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Title or Position | OPTICIAN MANAGER
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Name | MS. DIANE ELIZABETH ARRINGTON
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Credential | VIRGINIA LICENSED OP
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Telephone | 540-552-4588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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