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General NPI Number Information
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NPI Number | 1679785190
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Entity Type | Organization
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Legal Business Name | MASON FAMILY VISION, P.C.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 141 WILDEWOOD PARK DR
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City | COLUMBIA
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State | SC
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Zip | 29223-4300
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Country | US
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Telephone | 803-865-5520
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Fax | 803-865-5496
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Provider Business Mailing Address
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Address Line | 141 WILDEWOOD PARK DR
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City | COLUMBIA
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State | SC
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Zip | 29223-4300
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Country | US
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Telephone | 803-865-5520
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Fax | 803-865-5496
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. KATIE MASON
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Credential |
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Telephone | 803-865-5520
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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 | 1186
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License Number State | SC
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