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General NPI Number Information
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NPI Number | 1437294717
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Entity Type | Organization
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Legal Business Name | VISIONCARE, PC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 2710 E 62ND ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-2958
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Country | US
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Telephone | 317-257-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 E 62ND ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-2958
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Country | US
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Telephone | 317-257-4444
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RANDALL S BERNSTEIN
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Credential | O.D.
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Telephone | 317-257-4444
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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 | 18001716
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License Number State | IN
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