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General NPI Number Information
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NPI Number | 1437229564
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Entity Type | Organization
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Legal Business Name | NEW VISION OPTICAL INC.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3417 HIGHWAY 5 STE B
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-2378
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Country | US
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Telephone | 770-949-2020
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Fax | 770-942-8061
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Provider Business Mailing Address
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Address Line | 3417 HIGHWAY 5 STE B
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-2378
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Country | US
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Telephone | 770-949-2020
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Fax | 770-942-8061
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NANCY JEAN REED
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Credential | L.D.O.
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Telephone | 770-949-2020
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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 | 795
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 795
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License Number State | GA
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