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General NPI Number Information
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NPI Number | 1518779362
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Entity Type | Organization
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Legal Business Name | VISION OPTICAL, LLC
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 1040 DALE MABRY HWY
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City | LUTZ
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State | FL
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Zip | 33548-3004
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Country | US
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Telephone | 407-925-3320
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Fax | 813-949-8345
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Provider Business Mailing Address
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Address Line | 20320 HERITAGE POINT DR
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City | TAMPA
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State | FL
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Zip | 33647-3472
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Country | US
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Telephone | 407-925-3320
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Fax | 813-949-8345
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | DR. NGHIA H VO
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Credential | OD
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Telephone | 407-925-3320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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