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Organization
SHARPER VISION INC
Active
Organization
SHARPER VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUANG V WILSON O D (OPTOMETRIST)
(850) 455-8155
Entity
Organization
Contact information
Practice address
2951 S BLUE ANGEL PKWY, PENSACOLA, FL 32506-6906
(850) 455-8155
(850) 458-4946
Mailing address
800 BAYSHORE DR, PENSACOLA, FL 32507-3404
(850) 455-8155
(850) 458-4946
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTAN AI813
MEDICARE PTAN
FL
Enumeration date
03/06/2007
Last updated
10/08/2010
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