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General NPI Number Information
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NPI Number | 1316659030
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Entity Type | Organization
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Legal Business Name | KATELYN E. VILASI OPTOMETRY, PLLC
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 720 MIRACLE MILE DR
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City | ROCHESTER
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State | NY
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Zip | 14623-5856
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Country | US
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Telephone | 585-427-7960
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Fax | 877-231-0913
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Provider Business Mailing Address
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Address Line | PO BOX 92552
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City | ROCHESTER
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State | NY
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Zip | 14692-0552
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Country | US
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Telephone | 585-360-6858
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Fax | 877-231-0913
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | KATELYN EMMA VILASI
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Credential | OD
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Telephone | 585-360-6858
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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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