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General NPI Number Information
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NPI Number | 1871761510
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Entity Type | Organization
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Legal Business Name | CASE VISION CARE LLC
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 3972 WARRENSVLLE CTR
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City | CLEVELAND
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-751-9800
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Fax | 216-491-9229
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Provider Business Mailing Address
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Address Line | 3972 WARRENSVLLE
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City | CLEVELAND
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-751-9800
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Fax | 216-491-9229
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Authorized Official
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Title or Position | OPTICIAN/OWNER
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Name | MS. LOIS ONESKO
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Credential | LISENED OPTICIAN
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Telephone | 216-751-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | S1666
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License Number State | OH
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