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General NPI Number Information
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NPI Number | 1245482710
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Entity Type | Organization
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Legal Business Name | FLEMING ISLAND VISION CENTER, INC.
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Dates
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Enumeration Date | 10/16/2008
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 1524 COUNTY ROAD 220 STE 5
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-4913
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Country | US
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Telephone | 904-637-2000
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Fax | 904-637-2001
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Provider Business Mailing Address
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Address Line | 1524 COUNTY ROAD 220 STE 5
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-4913
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Country | US
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Telephone | 904-637-2000
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Fax | 904-637-2001
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JEFFREY SCOTT BLALOCK
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Credential | O.D.
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Telephone | 904-637-2000
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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 | OPC 3085
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License Number State | FL
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