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General NPI Number Information
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NPI Number | 1861877409
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Entity Type | Organization
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Legal Business Name | INVISION OPTICAL
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 350 HALLMAN HL E STE 81
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City | HOMEWOOD
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State | AL
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Zip | 35209-6555
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Country | US
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Telephone | 205-390-0100
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Fax | 205-871-3393
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Provider Business Mailing Address
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Address Line | 350 HALLMAN HL E STE 81
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City | HOMEWOOD
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State | AL
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Zip | 35209-6555
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Country | US
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Telephone | 205-390-0100
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Fax | 205-871-3393
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Authorized Official
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Title or Position | OWNER
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Name | DR. YOUNG CHOI
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Credential |
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Telephone | 205-390-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 193400000X
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License Number State | AL
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