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General NPI Number Information
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NPI Number | 1174063465
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Entity Type | Organization
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Legal Business Name | A & B PROFESSIONAL OPTOMETRY CORPORATION
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 3869 STOCKDALE HWY
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2188
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Country | US
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Telephone | 661-831-8952
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Fax | 661-831-5042
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Provider Business Mailing Address
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Address Line | 3869 STOCKDALE HWY
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City | BAKERSFIELD
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State | CA
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Zip | 93309-2188
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Country | US
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Telephone | 661-831-8952
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Fax | 661-831-5042
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | MR. MICHAEL AOYAMA
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Credential | O.D.
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Telephone | 661-831-8952
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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 | 12978TPL
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5732TPL
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 15131TLG
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License Number State | CA
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