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General NPI Number Information
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NPI Number | 1023040151
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Entity Type | Organization
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Legal Business Name | OPHTHALMIC ASSOCIATES
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1000 N BROAD ST
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City | LANSDALE
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State | PA
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Zip | 19446-1138
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Country | US
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Telephone | 215-368-1646
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 N BROAD ST
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City | LANSDALE
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State | PA
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Zip | 19446-1138
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Country | US
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Telephone | 215-368-1646
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING MANAGER
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Name | ROBIN MOORE
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Credential |
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Telephone | 215-368-1646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OE007385T
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License Number State | PA
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