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General NPI Number Information
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NPI Number | 1881470334
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Entity Type | Organization
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Legal Business Name | VISION CARE CONSULTANTS PLLC
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 2020 GUNBARREL RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2679
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Country | US
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Telephone | 423-269-1062
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Fax |
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Provider Business Mailing Address
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Address Line | 4930 JERSEY PIKE
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City | CHATTANOOGA
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State | TN
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Zip | 37416-3735
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Country | US
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Telephone | 740-361-5617
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. DOUGLAS MCCLOY II
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Credential | OD
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Telephone | 740-361-5617
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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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