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General NPI Number Information
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NPI Number | 1366236226
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Entity Type | Organization
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Legal Business Name | VIRGINIA FAMILY EYE CARE PLLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 9509 AMBERDALE DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-1256
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Country | US
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Telephone | 804-745-1922
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Fax | 804-249-7347
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Provider Business Mailing Address
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Address Line | 9509 AMBERDALE DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-1256
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Country | US
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Telephone | 804-745-1922
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Fax | 804-249-7347
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | SEBASTHIAN THOMAS AZOCAR
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Credential | OD
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Telephone | 804-745-1922
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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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