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General NPI Number Information
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NPI Number | 1326649583
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Entity Type | Organization
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Legal Business Name | BEST VISION LLC
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 336 MAIN ST
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City | ANSONIA
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State | CT
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Zip | 06401-2303
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Country | US
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Telephone | 203-732-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 12 EAST AVE
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City | WEST HAVEN
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State | CT
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Zip | 06516-6119
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Country | US
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Telephone | 585-474-2333
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/MANAGER
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Name | KELLY NGUYEN
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Credential | OD
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Telephone | 585-474-2333
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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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