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General NPI Number Information
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NPI Number | 1932044567
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Entity Type | Organization
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Legal Business Name | LIGHTWORKS VISION PLLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 3433 GREEN PINE LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-5902
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Country | US
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Telephone | 718-938-3824
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Fax | 718-682-3968
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Provider Business Mailing Address
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Address Line | 3433 GREEN PINE LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-5902
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Country | US
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Telephone | 757-689-7923
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Fax | 718-682-3968
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Authorized Official
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Title or Position | OWNER
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Name | JASON GOLDBERG
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Credential | MD
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Telephone | 757-689-7923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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