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General NPI Number Information
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NPI Number | 1245439140
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Entity Type | Organization
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Legal Business Name | ALVAREZ VISION SERVICES INC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 109 W MAIN ST
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City | LOOGOOTEE
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State | IN
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Zip | 47553-1506
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Country | US
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Telephone | 812-295-3163
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Fax | 812-901-6627
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Provider Business Mailing Address
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Address Line | 403 WALKER ST
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City | LOOGOOTEE
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State | IN
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Zip | 47553-1424
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Country | US
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Telephone | 260-415-0267
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Fax | 812-901-6623
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Authorized Official
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Title or Position | PRESIDENT, OPTOMETRIST
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Name | DR. MICHAEL M ALVAREZ
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Credential | OD
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Telephone | 260-415-0267
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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 | 18002795A
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License Number State | IN
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