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Individual
DR. VISSETT SCOTT SUN
Active
Individual
DR. VISSETT SCOTT SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5163TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
5163TG
TX
152WP0200X
Pediatric Optometrist
5163TG
TX
152WS0006X
Sports Vision Optometrist
5163TG
TX
152WV0400X
Vision Therapy Optometrist
5163TG
TX
152WX0102X
Occupational Vision Optometrist
5163TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117828701
—
TX
01
—
82769E
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/22/2007
Last updated
08/30/2022
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