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General NPI Number Information
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NPI Number | 1801383260
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Entity Type | Organization
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Legal Business Name | VISION THERAPY INSTITUTE OF MI, LLC
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 04/20/2018
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Provider Practice Location Address
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Address Line | 330 W LAKE LANSING RD
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City | EAST LANSING
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State | MI
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Zip | 48823-8527
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Country | US
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Telephone | 517-337-8182
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Fax |
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Provider Business Mailing Address
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Address Line | 310 W LAKE LANSING RD
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City | EAST LANSING
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State | MI
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Zip | 48823-1438
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Country | US
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Telephone | 517-337-8182
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHERYL VINCENT-RIEMER
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Credential | OD
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Telephone | 517-337-8182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State |
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