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General NPI Number Information
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NPI Number | 1720733835
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Entity Type | Organization
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Legal Business Name | VIZIO EYE CARE LLC
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 9129 W ATLANTIC BLVD
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6951
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Country | US
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Telephone | 954-282-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 7808 NW 71ST WAY
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City | PARKLAND
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State | FL
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Zip | 33067-2207
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Country | US
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Telephone | 954-560-1042
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIM-OANH NU TON
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Credential | OD
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Telephone | 954-261-6769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WX0102X
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Taxonomy Name | Occupational Vision Optometrist
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License Number |
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License Number State |
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