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General NPI Number Information
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NPI Number | 1730171430
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Entity Type | Organization
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Legal Business Name | GLASS VISION ASSOCIATES, P.A.
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 05/01/2017
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Provider Practice Location Address
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Address Line | 1001 SW 2ND AVE #4000
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City | BOCA RATON
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State | FL
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Zip | 33432-7245
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Country | US
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Telephone | 561-391-2362
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Fax | 561-391-3012
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Provider Business Mailing Address
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Address Line | 1001 SW 2ND AVE #4000
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City | BOCA RATON
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State | FL
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Zip | 33432-7245
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Country | US
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Telephone | 561-391-2362
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Fax | 561-391-3012
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARCIA GLASS
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Credential | O.D.
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Telephone | 561-391-2362
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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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