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General NPI Number Information
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NPI Number | 1265719066
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Entity Type | Organization
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Legal Business Name | WALESBY VISION CENTER P A
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 253 PINE AVE N UNIT B
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City | OLDSMAR
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State | FL
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Zip | 34677-4630
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Country | US
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Telephone | 813-915-0755
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Fax | 813-915-0704
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Provider Business Mailing Address
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Address Line | 253 PINE AVE N UNIT B
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City | OLDSMAR
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State | FL
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Zip | 34677-4630
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Country | US
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Telephone | 813-915-0755
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Fax | 813-915-0704
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. NICHOLAS THOMAS
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Credential | OD
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Telephone | 813-915-0755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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