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General NPI Number Information
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NPI Number | 1093502072
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Entity Type | Organization
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Legal Business Name | EYES OF THE BAY OPTOMETRY
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 415 UNIVERSITY AVE
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City | PALO ALTO
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State | CA
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Zip | 94301-1813
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Country | US
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Telephone | 650-326-8415
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Fax |
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Provider Business Mailing Address
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Address Line | 170 HAWTHORNE AVE
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City | PALO ALTO
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State | CA
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Zip | 94301-1039
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Country | US
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Telephone | 832-860-5325
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | CINDY POUW
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Credential | OD
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Telephone | 650-326-8415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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