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General NPI Number Information
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NPI Number | 1013268242
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Entity Type | Organization
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Legal Business Name | EYECARE FOCUS AND SPECIALTIES LLC
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 1611 J ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4252
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Country | US
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Telephone | 541-726-5055
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Fax | 541-747-5440
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Provider Business Mailing Address
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Address Line | 1611 J ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4252
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Country | US
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Telephone | 541-726-5055
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Fax | 541-747-5440
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON OILAR
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Credential | O.D.
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Telephone | 305-609-5071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3595AT
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License Number State | OR
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