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General NPI Number Information
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NPI Number | 1437665353
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Entity Type | Organization
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Legal Business Name | EYE SURGEONS OF RICHMOND, INC.
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Dates
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Enumeration Date | 12/15/2017
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 8411 N RUN MEDICAL DR
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City | MECHANICSVILLE
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State | VA
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Zip | 23116
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Country | US
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Telephone | 804-484-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 400 WESTHAMPTON STA
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City | RICHMOND
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State | VA
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Zip | 23226-3330
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | TINA R BYRD
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Credential |
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Telephone | 804-287-4703
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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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