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General NPI Number Information
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NPI Number | 1265187769
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Entity Type | Organization
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Legal Business Name | MY VISION CENTERS LLC
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 570 GYPSY LN
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-2144
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Country | US
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Telephone | 330-743-9816
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Fax |
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Provider Business Mailing Address
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Address Line | 1 MEMORY LN STE 100
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City | GARRETTSVILLE
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State | OH
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Zip | 44231-9415
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Country | US
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Telephone | 330-527-3937
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANE ANDREWS
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Credential |
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Telephone | 330-524-6015
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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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