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General NPI Number Information
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NPI Number | 1962461467
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Entity Type | Organization
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Legal Business Name | VISION EXPRESS OPTICIANS
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 6 COURT ST
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City | BATAVIA
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State | NY
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Zip | 14020-3128
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Country | US
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Telephone | 585-344-3278
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Fax | 585-344-3278
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Provider Business Mailing Address
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Address Line | PO BOX 107
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City | MEDINA
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State | NY
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Zip | 14103-0107
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Country | US
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Telephone | 585-344-3278
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Fax | 585-344-3278
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Authorized Official
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Title or Position | OWNER
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Name | MR. JON DORIN
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Credential |
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Telephone | 585-344-3278
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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 | 4271
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License Number State | NY
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