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General NPI Number Information
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NPI Number | 1245854108
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Entity Type | Organization
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Legal Business Name | J-N VISION PC
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Dates
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Enumeration Date | 06/05/2020
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 1313 DOLLEY MADISON BLVD SUITE 305
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City | MC LEAN
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State | VA
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Zip | 22101
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Country | US
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Telephone | 703-988-7744
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Fax | 703-997-3008
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Provider Business Mailing Address
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Address Line | 1313 DOLLEY MADISON BLVD SUITE 305
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City | MC LEAN
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State | VA
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Zip | 22101
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Country | US
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Telephone | 703-988-7744
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Fax | 703-997-3008
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Authorized Official
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Title or Position | OWNER
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Name | DUC Y. NGUYEN
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Credential | O.D.
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Telephone | 703-997-3008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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