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General NPI Number Information
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NPI Number | 1538942602
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Entity Type | Organization
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Legal Business Name | VISION INSIGHT OPTOMETRY, INC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 208 GREAT MALL DR
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City | MILPITAS
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State | CA
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Zip | 95035-8040
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Country | US
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Telephone | 408-263-3000
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Fax | 408-263-8277
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Provider Business Mailing Address
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Address Line | 10261 WILDHAWK DR
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City | SACRAMENTO
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State | CA
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Zip | 95829-6572
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Country | US
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Telephone | 408-390-3179
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. LINDA PHAN
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Credential | OD
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Telephone | 408-263-3000
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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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