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General NPI Number Information
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NPI Number | 1700034816
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Entity Type | Organization
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Legal Business Name | VISIONETIS OPTICAL INC.
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 12/31/2012
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Provider Practice Location Address
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Address Line | 89 S WEST END BLVD
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City | QUAKERTOWN
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State | PA
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Zip | 18951
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Country | US
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Telephone | 215-536-0620
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Fax | 215-538-1670
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Provider Business Mailing Address
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Address Line | 89 S WEST END BLVD
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City | QUAKERTOWN
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State | PA
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Zip | 18951-1138
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Country | US
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Telephone | 215-536-0620
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Fax | 215-538-1670
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER J. LONDINO
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Credential |
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Telephone | 215-536-0620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 6000001576
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 6000001576
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License Number State | PA
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