Name | Value |
---|---|
PROVIDER TYPE | Eye and Vision Services Providers |
CLASSIFICATION | Technician/Technologist |
AREA OF SPECIALIZATION | Optometric Technician |
STATUS | Active |
VA CODE | V060702 |
X12 CODE | 156FX1202X |
INDIVIDUAL/NON | INDIVIDUAL |
MASTER ENTRY FOR VUID | YES |
VUID | 5252636 |
EFFECTIVE DATE/TIME |
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