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General NPI Number Information
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NPI Number | 1710427844
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Entity Type | Organization
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Legal Business Name | BLINK EYECARE, LLC
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Dates
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Enumeration Date | 03/08/2017
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Last Update Date | 03/08/2017
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Provider Practice Location Address
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Address Line | 400 LASKIN RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-3022
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Country | US
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Telephone | 267-242-7767
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Fax |
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Provider Business Mailing Address
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Address Line | 400 LASKIN RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-3022
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | ERIN VOGT STROMBERG
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Credential |
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Telephone | 267-242-7767
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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 | 0618001651
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License Number State | VA
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