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General NPI Number Information
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NPI Number | 1053533489
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Entity Type | Organization
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Legal Business Name | GO OPTICS INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 N CENTER ST
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City | WESTMINSTER
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State | MD
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Zip | 21157-5140
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Country | US
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Telephone | 410-857-4200
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Fax | 410-848-9295
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Provider Business Mailing Address
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Address Line | 400 N CENTER ST
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City | WESTMINSTER
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State | MD
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Zip | 21157-5140
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Country | US
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Telephone | 410-857-4200
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Fax | 410-848-9295
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Authorized Official
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Title or Position | OWNER
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Name | GREG OLSON
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Credential | OD
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Telephone | 410-857-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1202X
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Taxonomy Name | Optometric Technician
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License Number |
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License Number State |
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