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General NPI Number Information
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NPI Number | 1376882613
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Entity Type | Organization
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Legal Business Name | DESIGN VISION, INC.
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 8720 W NORTH AVE
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City | WAUWATOSA
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State | WI
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Zip | 53226-2724
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Country | US
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Telephone | 414-774-0200
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Fax | 414-774-0201
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Provider Business Mailing Address
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Address Line | 8720 W NORTH AVE
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City | WAUWATOSA
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State | WI
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Zip | 53226-2724
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Country | US
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Telephone | 414-774-0200
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Fax | 414-774-0201
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Authorized Official
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Title or Position | OWNER
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Name | MS. CYNTHIA TOMASIK SEEMANN
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Credential | OPTICIAN
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Telephone | 414-774-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 05339
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License Number State | WI
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