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General NPI Number Information
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NPI Number | 1518949056
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Entity Type | Organization
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Legal Business Name | VISION CLINIC DR. SAVIN & ASSOCIATES
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1421 WASHINGTON AVE
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City | RACINE
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State | WI
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Zip | 53403-2254
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Country | US
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Telephone | 262-637-7494
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Fax | 262-637-7958
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Provider Business Mailing Address
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Address Line | 1421 WASHINGTON AVE
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City | RACINE
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State | WI
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Zip | 53403-2254
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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 | PRESIDENT, OPTOMETRIST
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Name | DR. BRUCE A SAVIN
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Credential | O.D.
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Telephone | 262-637-7494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number |
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License Number State | WI
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Taxonomy #3
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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 | WI
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