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General NPI Number Information
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NPI Number | 1891201406
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Entity Type | Organization
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Legal Business Name | SHARPER VISION PC
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 71 GARFIELD ST APT 180
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City | DETROIT
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State | MI
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Zip | 48201-1911
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Country | US
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Telephone | 313-974-7299
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Fax |
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Provider Business Mailing Address
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Address Line | 71 GARFIELD ST APT 180
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City | DETROIT
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State | MI
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Zip | 48201-1911
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Country | US
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Telephone | 313-974-7299
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Fax | 313-974-7525
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Authorized Official
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Title or Position | CEO
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Name | JACQUELYN WILLIAMS-BLAKEY
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Credential | OD
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Telephone | 313-974-7299
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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 |
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License Number State |
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