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General NPI Number Information
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NPI Number | 1508955667
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Entity Type | Organization
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Legal Business Name | VISIONWORKS, INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 10000 COORS BLVD NW SUITE A201
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City | ALBUQUERQUE
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State | NM
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Zip | 87113
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Country | US
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Telephone | 505-897-2020
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Fax | 505-792-2725
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Provider Business Mailing Address
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Address Line | PO BOX 848448
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City | DALLAS
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State | TX
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Zip | 75284-8448
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Country | US
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Telephone | 210-524-6663
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Fax | 210-524-6587
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Authorized Official
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Title or Position | OFFICER
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Name | DOUG NEWCOM
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Credential |
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Telephone | 210-524-6700
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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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