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General NPI Number Information
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NPI Number | 1871459602
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Entity Type | Organization
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Legal Business Name | OPTIVIEW FAMILY EYECARE PLLC
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 4640 MONTICELLO AVE STE 8A
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-8230
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Country | US
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Telephone | 757-645-3930
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Fax |
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Provider Business Mailing Address
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Address Line | 104 KAITLYN CT
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City | YORKTOWN
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State | VA
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Zip | 23693-2041
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Country | US
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Telephone | 757-645-3930
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. AVANI SIDDHAPURA
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Credential | OD
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Telephone | 757-645-3930
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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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