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General NPI Number Information
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NPI Number | 1295999779
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Entity Type | Organization
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Legal Business Name | RICHARD J VESLER O.D., INC
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 5109 WEST BROAD ST STE 200
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City | COLUMBUS
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State | OH
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Zip | 43228
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Country | US
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Telephone | 614-878-1354
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Fax | 614-878-8802
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Provider Business Mailing Address
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Address Line | 5109 WEST BROAD ST STE 200
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City | COLUMBUS
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State | OH
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Zip | 43228
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Country | US
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Telephone | 614-878-1354
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Fax | 614-878-8802
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Authorized Official
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Title or Position | OFFICE MNGR
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Name | MRS. SUZE M SUAREZ
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Credential |
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Telephone | 614-878-1354
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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 | 3049
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License Number State | OH
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