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General NPI Number Information
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NPI Number | 1396913257
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Entity Type | Organization
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Legal Business Name | FAMILY VISION CARE, LLC
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 607 S COMMERCE ST
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City | GENEVA
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State | AL
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Zip | 36340-2410
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Country | US
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Telephone | 334-684-6070
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Fax | 334-684-2640
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Provider Business Mailing Address
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Address Line | 607 S COMMERCE ST
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City | GENEVA
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State | AL
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Zip | 36340-2410
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Country | US
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Telephone | 334-684-6070
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Fax | 334-684-2640
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. JOHN E HORNSBY
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Credential | OD
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Telephone | 334-684-6070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S584TA252
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License Number State | AL
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