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General NPI Number Information
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NPI Number | 1932975596
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Entity Type | Organization
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Legal Business Name | HELLER VISION CARE LLC
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 5335 HIGHWAY 280
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City | BIRMINGHAM
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State | AL
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Zip | 35242-5317
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Country | US
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Telephone | 205-980-0446
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Fax |
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Provider Business Mailing Address
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Address Line | 797 ROSEBURY RD
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City | HELENA
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State | AL
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Zip | 35080-6827
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. STACY HELLER
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Credential | O. D.
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Telephone | 205-960-5905
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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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