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General NPI Number Information
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NPI Number | 1598405433
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Entity Type | Organization
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Legal Business Name | VISIONWORKS, INC.
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 510 N STREET ROAD 7
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-3523
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Country | US
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Telephone | 561-631-9619
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Fax | 561-631-9619
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Provider Business Mailing Address
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Address Line | 175 E HOUSTON ST
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2299
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Country | US
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Telephone | 800-340-0129
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Fax | 210-524-6587
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Authorized Official
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Title or Position | CREDENTIALING MANAGE
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Name | DOLSIE MCDONALD
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Credential |
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Telephone | 210-524-6663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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