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General NPI Number Information
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NPI Number | 1073598751
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Entity Type | Organization
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Legal Business Name | WESTON EYE CENTER, INC.
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4577 WESTON RD
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City | WESTON
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State | FL
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Zip | 33331-3141
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Country | US
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Telephone | 954-217-5070
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Fax | 954-217-5080
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Provider Business Mailing Address
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Address Line | 4577 WESTON RD
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City | WESTON
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State | FL
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Zip | 33331-3141
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Country | US
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Telephone | 954-217-5070
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Fax | 954-217-5080
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. LUISA INES DEL TORO
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Credential | O.D.
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Telephone | 954-217-5070
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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 | 3106
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License Number State | FL
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