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General NPI Number Information
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NPI Number | 1932086758
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Entity Type | Organization
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Legal Business Name | VICTORY VISION, LLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1220 E ROBINSON ST
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City | NORMAN
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State | OK
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Zip | 73071-3602
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Country | US
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Telephone | 580-318-3313
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 E ROBINSON ST
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City | NORMAN
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State | OK
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Zip | 73071-3602
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Country | US
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Telephone | 580-857-1381
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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 | KELSEY RAE YBARRA
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Credential | OD
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Telephone | 580-318-3313
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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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