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General NPI Number Information
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NPI Number | 1497219935
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Entity Type | Organization
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Legal Business Name | NEW VISION OPTOMETRY, INC.
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 2201 W OLIVE AVE
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City | BURBANK
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State | CA
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Zip | 91506-2625
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Country | US
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Telephone | 562-889-6556
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Fax |
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Provider Business Mailing Address
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Address Line | 11461 SIERRA RANCH VIEW RD
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City | TUJUNGA
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State | CA
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Zip | 91042-1127
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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 | OWNER/OPTOMETRIST
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Name | EURRI CHOI
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Credential | O.D
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Telephone | 562-889-6556
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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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