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General NPI Number Information
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NPI Number | 1619452166
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Entity Type | Organization
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Legal Business Name | DH VISION CARE INC
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 339 SQUIRE RD STE 200
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City | REVERE
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State | MA
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Zip | 02151-4398
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Country | US
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Telephone | 781-289-5900
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Fax | 780-289-6135
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Provider Business Mailing Address
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Address Line | 299 SAVIN HILL AVE APT 3
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City | BOSTON
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State | MA
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Zip | 02125-4563
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Country | US
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Telephone | 203-751-7299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS B HAIGH
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Credential |
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Telephone | 203-751-7299
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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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