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General NPI Number Information
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NPI Number | 1932777968
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Entity Type | Organization
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Legal Business Name | RAY VISION LLC
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 700 SE CHKALOV DR STE 5
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City | VANCOUVER
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State | WA
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Zip | 98683-5202
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Country | US
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Telephone | 360-256-0612
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Fax | 360-896-5503
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Provider Business Mailing Address
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Address Line | 7706 NE 56TH ST
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City | VANCOUVER
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State | WA
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Zip | 98662-6244
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Country | US
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Telephone | 503-550-3737
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | DR. LEAH L. RAY
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Credential | OD
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Telephone | 503-550-3737
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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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