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General NPI Number Information
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NPI Number | 1841159472
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Entity Type | Organization
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Legal Business Name | VISIONARY EYE CARE SERVICES, PLLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 400 WATER ST STE 105
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City | EXCELSIOR
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State | MN
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Zip | 55331-3001
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Country | US
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Telephone | 952-214-1664
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Fax | 952-214-1668
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Provider Business Mailing Address
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Address Line | 400 WATER ST STE 105
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City | EXCELSIOR
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State | MN
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Zip | 55331-3001
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Country | US
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Telephone | 952-214-1664
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Fax | 952-214-1668
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | THOMAS ELTON
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Credential | OD
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Telephone | 320-247-2139
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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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