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General NPI Number Information
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NPI Number | 1609048222
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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 | 03/25/2008
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 9644 S. WESTERN AVE.
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City | EVERGREEN PARK
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State | IL
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Zip | 60805
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Country | US
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Telephone | 773-239-4881
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Fax | 773-239-4993
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Provider Business Mailing Address
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Address Line | PO BOX 848448
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City | DALLAS
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State | TX
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Zip | 75284-8448
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Country | US
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Telephone | 210-524-6663
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Fax | 210-524-6587
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Authorized Official
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Title or Position | MVC NETWORK MANAGEMENT MANAGER
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Name | DOLSIE MCDONALD
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Credential |
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Telephone | 726-444-4078
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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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