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General NPI Number Information
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NPI Number | 1538970256
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Entity Type | Organization
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Legal Business Name | RICHARDSON VISION, LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 601 S PLANO RD
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City | RICHARDSON
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State | TX
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Zip | 75081-4512
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Country | US
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Telephone | 919-225-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 N PEARL ST APT 1406
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City | DALLAS
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State | TX
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Zip | 75201-2958
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOHAMED OSMAN
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Credential | OD
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Telephone | 919-225-6444
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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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