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General NPI Number Information
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NPI Number | 1730788688
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Entity Type | Organization
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Legal Business Name | NORWALK VISION CENTER LLC
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 148 EAST AVE STE 3C
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City | NORWALK
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State | CT
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Zip | 06851-5736
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Country | US
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Telephone | 203-866-3280
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Fax | 203-866-1124
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Provider Business Mailing Address
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Address Line | 148 EAST AVE STE 3C
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City | NORWALK
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State | CT
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Zip | 06851-5736
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Country | US
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Telephone | 203-866-3280
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Fax | 203-866-1124
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Authorized Official
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Title or Position | OWNER, OPTOMETRIST
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Name | DR. DAVID JASON FOLMAN
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Credential | OD
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Telephone | 203-866-3280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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Taxonomy #4
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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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