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General NPI Number Information
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NPI Number | 1982663548
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Entity Type | Organization
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Legal Business Name | VISUAL EYES
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1924 COUNTY LINE RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-1738
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Country | US
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Telephone | 215-357-9011
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Fax |
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Provider Business Mailing Address
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Address Line | 1924 COUNTY LINE RD
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-1738
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Country | US
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Telephone | 215-357-9011
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RICHARD SPROSS
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Credential |
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Telephone | 215-357-9011
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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 | OEG000107
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License Number State | PA
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