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General NPI Number Information
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NPI Number | 1780998625
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Entity Type | Organization
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Legal Business Name | INVISION EYE CENTER
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 820 NORTH SPRING ST STE D
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City | CALIENTE
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State | NV
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Zip | 89008-1048
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Country | US
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Telephone | 775-726-3911
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Fax | 775-726-3922
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Provider Business Mailing Address
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Address Line | PO BOX 1048
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City | CALIENTE
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State | NV
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Zip | 89008-1048
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Country | US
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Telephone | 775-726-3911
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Fax | 775-726-3922
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSHUA JAMES TERRY
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Credential | O.D.
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Telephone | 775-726-3911
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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 | 596
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License Number State | NV
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