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General NPI Number Information
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NPI Number | 1982613576
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Entity Type | Organization
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Legal Business Name | EYE ONE, PLC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 620 BERKMAR CIR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1464
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Country | US
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Telephone | 434-220-3420
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Fax | 434-220-3422
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Provider Business Mailing Address
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Address Line | 17 N. MEDICAL PARK DRIVE
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City | FISHERSVILLE
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State | VA
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Zip | 22939
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Country | US
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Telephone | 540-213-7720
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Fax | 540-213-7481
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MRS. VICTORIA E VANDEVANDER
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Credential |
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Telephone | 540-213-8449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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