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General NPI Number Information
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NPI Number | 1558884551
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Entity Type | Organization
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Legal Business Name | USV OPTICAL INC.
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Dates
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Enumeration Date | 07/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1 HARMON DR
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City | BLACKWOOD
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State | NJ
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Zip | 08012-5103
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Country | US
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Telephone | 856-228-1000
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Fax | 856-228-1004
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Provider Business Mailing Address
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Address Line | 1 HARMON DR
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City | BLACKWOOD
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State | NJ
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Zip | 08012-5103
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Country | US
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Telephone | 856-228-1000
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Fax | 856-228-1004
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Authorized Official
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Title or Position | PROFESSIONAL RELATIONS MAANGER
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Name | RANDI WOERNER
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Credential |
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Telephone | 856-228-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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