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General NPI Number Information
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NPI Number | 1063841732
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Entity Type | Organization
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Legal Business Name | ACCESSOREYES OPTOMETRY INC.
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 155 CORDOVA ST UNIT 168
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City | PASADENA
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State | CA
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Zip | 91105-2727
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Country | US
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Telephone | 626-577-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 155 CORDOVA ST UNIT 168
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City | PASADENA
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State | CA
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Zip | 91105-2727
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Country | US
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Telephone | 626-577-8881
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Fax |
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Authorized Official
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Title or Position | C.E.O
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Name | DR. ELDA MEHRABYAN
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Credential | O.D.
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Telephone | 626-577-8881
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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 | 14089
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License Number State | CA
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