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General NPI Number Information
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NPI Number | 1417279399
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Entity Type | Organization
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Legal Business Name | ISIGHT VISION CARE, INC
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 10/31/2010
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Provider Practice Location Address
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Address Line | 18693 BROOKHURST ST
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6749
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Country | US
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Telephone | 562-212-6369
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Fax |
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Provider Business Mailing Address
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Address Line | 18693 BROOKHURST ST
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6749
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Country | US
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Telephone | 562-212-6369
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. VICKI Y LIN
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Credential | M.D.
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Telephone | 562-212-6369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | CA
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