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General NPI Number Information
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NPI Number | 1952526147
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Entity Type | Organization
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Legal Business Name | VISION CENTER
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Dates
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Enumeration Date | 04/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 845 W MAIN ST
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City | BRANFORD
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State | CT
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Zip | 06405-3413
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Country | US
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Telephone | 203-488-2082
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Fax |
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Provider Business Mailing Address
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Address Line | 845 W MAIN ST
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City | BRANFORD
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State | CT
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Zip | 06405-3413
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Country | US
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Telephone | 203-488-2082
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID P. WOJCIK
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Credential | LO
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Telephone | 203-488-2082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | LO642
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License Number State | CT
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