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General NPI Number Information
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NPI Number | 1588773600
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Entity Type | Organization
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Legal Business Name | PRECISION EYE CARE, LTD
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11307 POLO PL SPACE D
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-1434
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Country | US
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Telephone | 804-379-5700
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Fax | 804-379-0809
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Provider Business Mailing Address
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Address Line | 11307 POLO PL SPACE D
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-1434
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Country | US
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Telephone |
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Fax | 804-379-0809
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. JOSHUA FOREST SHOWS
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Credential |
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Telephone | 804-379-5700
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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 | 0618001166
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License Number State | VA
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