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General NPI Number Information
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NPI Number | 1982792073
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Entity Type | Organization
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Legal Business Name | OVIEDO VISION CENTER PA
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 11/11/2020
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Provider Practice Location Address
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Address Line | 875 CLARK ST SUITE A
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City | OVIEDO
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State | FL
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Zip | 32765-2900
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Country | US
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Telephone | 407-366-7655
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Fax | 407-366-4129
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Provider Business Mailing Address
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Address Line | 875 CLARK STREET SUITE A
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City | OVIEDO
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State | FL
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Zip | 32765
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Country | US
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Telephone | 407-366-7655
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Fax | 407-366-4129
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Authorized Official
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Title or Position | PRES
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Name | DR. PHUNG M HO
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Credential | OD
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Telephone | 407-366-7655
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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 |
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License Number State |
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