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General NPI Number Information
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NPI Number | 1982910253
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Entity Type | Organization
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Legal Business Name | HAYDEN VISION LLC
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 3801 BELLEMEADE AVE
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City | EVANSVILLE
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State | IN
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Zip | 47714-0100
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Country | US
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Telephone | 812-477-3937
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Fax | 812-477-9797
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Provider Business Mailing Address
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Address Line | PO BOX 722
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City | HENDERSON
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State | KY
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Zip | 42419-0722
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Country | US
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Telephone | 812-477-3937
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Fax | 812-477-9797
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Authorized Official
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Title or Position | SOLE MEMBER/OWNER
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Name | GREGORY L HAYDEN
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Credential |
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Telephone | 812-477-3937
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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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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 01043538
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License Number State | IN
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Taxonomy #3
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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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