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General NPI Number Information
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NPI Number | 1598643561
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Entity Type | Organization
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Legal Business Name | 360CARE OPTOMETRY OF VIRGINIA LLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 100 SHOCKOE SLIP FL 2
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City | RICHMOND
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State | VA
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Zip | 23219-4100
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Country | US
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Telephone | 248-528-2116
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Fax | 502-996-8282
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Provider Business Mailing Address
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Address Line | 4350 BROWNSBORO RD STE 210
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City | LOUISVILLE
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State | KY
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Zip | 40207-1681
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Country | US
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Telephone | 248-528-2116
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Fax | 502-996-8282
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE ASSURANCE
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Name | JOY STEVENS
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Credential |
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Telephone | 502-244-2441
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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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