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General NPI Number Information
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NPI Number | 1336102052
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Entity Type | Organization
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Legal Business Name | VISION PARK FAMILY EYE CARE, LLP
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 2699 86TH ST
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City | URBANDALE
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State | IA
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Zip | 50322-4309
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Country | US
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Telephone | 515-270-2490
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Fax | 515-270-2494
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Provider Business Mailing Address
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Address Line | 2699 86TH ST
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City | URBANDALE
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State | IA
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Zip | 50322-4309
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Country | US
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Telephone | 515-270-2490
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Fax | 515-270-2494
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Authorized Official
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Title or Position | OD, PARTNER
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Name | MELISSA BILLINGS
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Credential |
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Telephone | 515-270-2490
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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 | 1965
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License Number State | IA
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