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General NPI Number Information
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NPI Number | 1154287613
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Entity Type | Organization
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Legal Business Name | ANTIOCH OPTOMETRY, PC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2201 VERNE ROBERTS CIR
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City | ANTIOCH
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State | CA
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Zip | 94509-7911
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Country | US
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Telephone | 925-470-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 VERNE ROBERTS CIR
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City | ANTIOCH
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State | CA
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Zip | 94509-7911
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALLEN LUONG
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Credential | OD
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Telephone | 510-828-8643
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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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