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General NPI Number Information
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NPI Number | 1427139377
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Entity Type | Organization
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Legal Business Name | VISALIA EYE CENTER, INC.
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 112 N AKERS ST SUITE A
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City | VISALIA
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State | CA
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Zip | 93291-5121
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Country | US
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Telephone | 559-733-4372
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Fax | 559-733-1758
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Provider Business Mailing Address
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Address Line | 112 N AKERS ST SUITE A
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City | VISALIA
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State | CA
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Zip | 93291-5121
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Country | US
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Telephone | 559-733-4372
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Fax | 559-733-1758
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID GORDON FEIL
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Credential | M.D.
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Telephone | 559-733-4372
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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 | OPT8061
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License Number State | CA
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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 | OPT12847 TPA
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License Number State | CA
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