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General NPI Number Information
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NPI Number | 1942039193
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Entity Type | Organization
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Legal Business Name | VALLEY OPTOMETRY PLLC
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Dates
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Enumeration Date | 07/27/2024
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 100 RANO BLVD
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City | VESTAL
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State | NY
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Zip | 13850-2776
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Country | US
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Telephone | 801-473-8607
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Fax |
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Provider Business Mailing Address
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Address Line | 829 OVERBROOK DR
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City | VESTAL
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State | NY
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Zip | 13850-2947
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Country | US
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Telephone | 801-473-8607
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICHAEL ALBERT CHRISTENSEN
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Credential | OD
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Telephone | 801-473-8607
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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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