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General NPI Number Information
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NPI Number | 1538216171
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Entity Type | Organization
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Legal Business Name | LOW VISION SERVICES, P.C.
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 200 W 103RD ST STE 2030
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1092
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Country | US
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Telephone | 317-817-1772
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Fax | 317-805-4520
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Provider Business Mailing Address
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Address Line | 200 W 103RD ST STE 2030
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1092
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Country | US
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Telephone | 317-817-1772
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Fax | 317-805-4520
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL P. BITHER
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Credential | O.D.
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Telephone | 317-817-1772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 18002014A
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License Number State | IN
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