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General NPI Number Information
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NPI Number | 1265179907
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Entity Type | Organization
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Legal Business Name | CLEAR VISION SOLUTIONS, INC.
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Dates
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Enumeration Date | 05/15/2022
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Last Update Date | 05/15/2022
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Provider Practice Location Address
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Address Line | 837 N COURT ST
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City | MEDINA
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State | OH
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Zip | 44256-1718
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Country | US
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Telephone | 330-725-4464
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Fax | 330-725-5054
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Provider Business Mailing Address
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Address Line | 1195 GLENNVIEW ST NE
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City | CANTON
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State | OH
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Zip | 44721-1912
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Country | US
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Telephone | 330-312-0497
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Fax | 330-725-5054
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LONI RAE RITTENHOUSE
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Credential | OD
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Telephone | 330-312-0497
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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 |
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License Number State |
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