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NPI 1104216787

NPI 1104216787 : I SEE OPTICAL LLC : FREDRICKSBURG, VA

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General NPI Number Information
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    NPI Number           |    1104216787
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    Entity Type          |    Organization 
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    Legal Business Name  |    I SEE OPTICAL LLC 
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Dates
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    Enumeration Date     |    02/03/2015
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    Last Update Date     |    02/03/2015
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Provider Practice Location Address
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    Address Line         |    440 SPOTSYLVANIA TOWNE CENTRE 
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    City                 |    FREDRICKSBURG
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    State                |    VA
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    Zip                  |    22407
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    Country              |    US
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    Telephone            |    540-786-2272
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    Fax                  |    540-786-3793
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Provider Business Mailing Address
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    Address Line         |    440 SPOTSYLVANIA TOWNE CENTRE 
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    City                 |    FREDRICKSBURG
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    State                |    VA
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    Zip                  |    22407
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    Country              |    US
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    Telephone            |    540-786-2272
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    Fax                  |    540-786-3793
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SAMI  HENEIN 
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    Credential           |    
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    Telephone            |    540-786-2272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332H00000X
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    Taxonomy Name        |    Eyewear Supplier
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    License Number       |    
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    License Number State |    
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