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General NPI Number Information
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NPI Number | 1528158995
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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 | 10/13/2006
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 5164 MEADOWOOD MALL CIR SPACE F109
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City | RENO
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State | NV
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Zip | 89502-6711
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Country | US
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Telephone | 775-829-8366
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Fax | 775-829-2362
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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 | DOLSIE MCDONALD
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Credential |
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Telephone | 210-524-6663
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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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