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General NPI Number Information
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NPI Number | 1538620216
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Entity Type | Organization
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Legal Business Name | GLOBAL VISION OPTOMETRY
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 18569 MAIN ST
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1709
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Country | US
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Telephone | 714-698-9035
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Fax |
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Provider Business Mailing Address
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Address Line | 18569 MAIN ST
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-1709
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Country | US
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Telephone | 714-780-2008
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Fax | 714-698-9035
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Authorized Official
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Title or Position | OPTOMETRIST/CEO
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Name | DR. STEPHANY MYTRAN VONG
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Credential | O.D.
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Telephone | 626-228-7531
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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 |
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License Number State |
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