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General NPI Number Information
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NPI Number | 1871430710
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Entity Type | Organization
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Legal Business Name | VISION AND MISSION
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 8455 N WICKHAM RD
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City | MELBOURNE
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State | FL
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Zip | 32940-6607
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Country | US
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Telephone | 909-936-4251
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Fax |
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Provider Business Mailing Address
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Address Line | 177 EASTON CIR
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City | OVIEDO
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State | FL
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Zip | 32765-8479
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | MONICA MIKHAIL
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Credential | OD
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Telephone | 909-936-4251
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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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