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General NPI Number Information
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NPI Number | 1821424250
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Entity Type | Organization
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Legal Business Name | TOTAL VISION SERVICES, P.C.
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Dates
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Enumeration Date | 09/17/2013
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 1021 WOODRUFF RD
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City | GREENVILLE
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State | SC
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Zip | 29607-4108
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Country | US
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Telephone | 864-297-2573
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Fax | 864-297-2574
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Provider Business Mailing Address
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Address Line | 1021 WOODRUFF RD
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City | GREENVILLE
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State | SC
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Zip | 29607-4108
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Country | US
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Telephone | 864-297-2573
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Fax | 864-297-2574
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM ERNEST SOUTHERLAND
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Credential | O.D.
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Telephone | 864-234-5350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1580
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License Number State | SC
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