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General NPI Number Information
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NPI Number | 1992136360
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Entity Type | Organization
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Legal Business Name | VISION CARE LLC
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Dates
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Enumeration Date | 12/10/2013
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 844 N COLONY RD
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City | WALLINGFORD
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State | CT
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Zip | 06492-2771
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Country | US
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Telephone | 203-800-6987
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Fax |
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Provider Business Mailing Address
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Address Line | 129 OCONNELL DR
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City | EAST HARTFORD
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State | CT
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Zip | 06118-3438
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Country | US
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Telephone | 860-781-0500
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | ANTHONY GORDON
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Credential | OD
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Telephone | 860-781-0500
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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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