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General NPI Number Information
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NPI Number | 1952851792
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Entity Type | Organization
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Legal Business Name | VIEWPOINT EYECARE LLC
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Dates
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Enumeration Date | 10/05/2016
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 991 SHEPARD LN SUITE 105
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City | FARMINGTON
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State | UT
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Zip | 84025-2972
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Country | US
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Telephone | 801-923-3145
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Fax |
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Provider Business Mailing Address
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Address Line | 991 SHEPARD LN SUITE 105
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City | FARMINGTON
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State | UT
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Zip | 84025-2972
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Country | US
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Telephone | 801-923-3145
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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 | ANDREW L BIBO
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Credential | OD
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Telephone | 801-923-3145
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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 | 8674084-9934
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License Number State | UT
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