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General NPI Number Information
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NPI Number | 1194840553
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Entity Type | Organization
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Legal Business Name | SYSTEM OPTICS LLC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 3510 MANCHESTER RD
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City | AKRON
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State | OH
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Zip | 44319-1415
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Country | US
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Telephone | 330-630-9699
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Fax | 330-644-0187
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Provider Business Mailing Address
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Address Line | 518 WEST AVE
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City | TALLMADGE
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State | OH
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Zip | 44278-2117
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Country | US
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Telephone | 330-630-9699
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Fax | 330-633-7165
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Authorized Official
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Title or Position | PRESIDENT
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Name | TODD BEYER
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Credential |
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Telephone | 330-630-9699
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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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