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General NPI Number Information
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NPI Number | 1114196292
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Entity Type | Organization
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Legal Business Name | OMAN OPTOMETRIC EYE CARE, PA
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 2100 W CORNWALLIS DR STE J
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City | GREENSBORO
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State | NC
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Zip | 27408-7015
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Country | US
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Telephone | 336-288-3937
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Fax | 336-288-8177
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Provider Business Mailing Address
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Address Line | 2100 W CORNWALLIS DR STE J
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City | GREENSBORO
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State | NC
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Zip | 27408-7015
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Country | US
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Telephone | 336-288-3937
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Fax | 336-288-8177
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Authorized Official
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Title or Position | OWNER
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Name | DR. HEATHER HANFORD OMAN
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Credential | O.D.
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Telephone | 336-288-3937
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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 | 1759
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License Number State | NC
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