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General NPI Number Information
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NPI Number | 1851874168
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Entity Type | Organization
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Legal Business Name | ONEWAY VISION ASSOCIATES PA
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 09/12/2018
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Provider Practice Location Address
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Address Line | 27 S PLEASANTBURG DR STE 120
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City | GREENVILLE
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State | SC
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Zip | 29607-2575
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Country | US
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Telephone | 864-235-8778
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Fax |
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Provider Business Mailing Address
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Address Line | 27 S PLEASANTBURG DR STE 120
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City | GREENVILLE
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State | SC
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Zip | 29607-2575
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Country | US
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Telephone | 864-235-8778
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA W YEAGER
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Credential | OD
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Telephone | 864-235-8778
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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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