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General NPI Number Information
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NPI Number | 1538175914
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Entity Type | Organization
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Legal Business Name | PRECISION VISION CENTER INC.
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 2049 INTERCHANGE RD
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City | ERIE
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State | PA
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Zip | 16509-8315
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Country | US
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Telephone | 814-838-8883
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Fax | 814-838-8497
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Provider Business Mailing Address
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Address Line | 3279 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16506-2537
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Country | US
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Telephone | 814-838-8883
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Fax | 814-838-8497
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | MICHAEL D CHESSARIO
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Credential | OD
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Telephone | 814-838-8883
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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 | OE006713P
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License Number State | PA
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