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General NPI Number Information
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NPI Number | 1467018705
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Entity Type | Organization
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Legal Business Name | VISION PRO II, INC
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 38814 3RD AVE
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City | NORTH BRANCH
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State | MN
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Zip | 55056-5962
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Country | US
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Telephone | 651-674-9974
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Fax | 651-674-0347
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Provider Business Mailing Address
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Address Line | 1806 BELKNAP ST
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City | SUPERIOR
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State | WI
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Zip | 54880-2595
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Country | US
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Telephone | 715-392-6222
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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 | NICHOLE SEVERIN
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Credential |
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Telephone | 715-621-2020
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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 |
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License Number State |
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