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NPI 1033072863

NPI 1033072863 : SIXTH OPTOMETRIC CARE OF CALIFORNIA PC : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1033072863
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    Entity Type          |    Organization 
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    Legal Business Name  |    SIXTH OPTOMETRIC CARE OF CALIFORNIA PC 
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Dates
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    Enumeration Date     |    12/08/2025
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    Last Update Date     |    12/08/2025
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Provider Practice Location Address
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    Address Line         |    678 E SANTA CLARA ST 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95112-1931
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    Country              |    US
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    Telephone            |    408-293-2020
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    Fax                  |    408-271-0225
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Provider Business Mailing Address
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    Address Line         |    3333 QUALITY DR 
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    City                 |    RANCHO CORDOVA
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    State                |    CA
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    Zip                  |    95670-7985
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    Country              |    US
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    Telephone            |    408-293-2020
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    Fax                  |    408-271-0225
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Authorized Official
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    Title or Position    |    DIRECTO
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    Name                 |     BRITTANY  HARRISON 
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    Credential           |    CPOC
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    Telephone            |    512-316-4603
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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       |    
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    License Number State |    
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