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General NPI Number Information
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NPI Number | 1255053765
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Entity Type | Organization
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Legal Business Name | NOW EYE SEE VISION CARE
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 7125 S VAL VISTA DR STE 101
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City | GILBERT
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State | AZ
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Zip | 85298-0674
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Country | US
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Telephone | 503-312-6714
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Fax |
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Provider Business Mailing Address
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Address Line | 2677 E DANIEL DR
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City | GILBERT
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State | AZ
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Zip | 85298-0571
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Country | US
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Telephone | 503-312-6714
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RENEE THIMESCH
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Credential | OD
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Telephone | 503-312-6714
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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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