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General NPI Number Information
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NPI Number | 1194290288
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Entity Type | Organization
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Legal Business Name | GOLDEN ENVISION OPTOMETRY INC
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 655 W DUARTE RD # B
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City | ARCADIA
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State | CA
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Zip | 91007-7332
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Country | US
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Telephone | 626-446-2028
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Fax | 626-446-2007
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Provider Business Mailing Address
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Address Line | 655 W DUARTE RD # B
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City | ARCADIA
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State | CA
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Zip | 91007-7332
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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 | DR. DENNIS LEUNG
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Credential | OD
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Telephone | 626-446-2028
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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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