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General NPI Number Information
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NPI Number | 1073976692
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Entity Type | Organization
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Legal Business Name | WESTSIDE OPTOMETRY PLLC
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 250 MILE CROSSING BLVD STE 1B
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City | ROCHESTER
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State | NY
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Zip | 14624-6242
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Country | US
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Telephone | 585-571-9034
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Fax | 585-471-8827
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Provider Business Mailing Address
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Address Line | 250 MILE CROSSING BLVD STE 1B
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City | ROCHESTER
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State | NY
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Zip | 14624-6242
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Country | US
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Telephone | 585-571-9034
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Fax | 585-471-8827
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID E. D'AMICO
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Credential | O.D.
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Telephone | 585-571-9034
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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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