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Atlantis Vision Center 2194 Florida A1A #109 Indian Harbor Beach, FL 32937 Telephone: 321.777.1670 Fax: 321.773.0187 Patient Name: Date of Birth: Previous Name: I, (patient name) request and authorize
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What is atlantis vision center 2194?
The Atlantis Vision Center 2194 is a form used for reporting vision services provided by the Atlantis Vision Center.
Who is required to file atlantis vision center 2194?
All vision service providers at the Atlantis Vision Center are required to file the form 2194.
How to fill out atlantis vision center 2194?
To fill out the Atlantis Vision Center 2194 form, you must provide detailed information about the vision services rendered.
What is the purpose of atlantis vision center 2194?
The purpose of form 2194 is to document and report vision services provided at the Atlantis Vision Center.
What information must be reported on atlantis vision center 2194?
The form 2194 requires information such as patient demographics, type of vision service provided, and date of service.
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