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General NPI Number Information
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NPI Number | 1255402707
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Entity Type | Organization
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Legal Business Name | CLARITY EYE CENTER, P.C.
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1235 S POWER RD
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City | MESA
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State | AZ
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Zip | 85206-3712
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Country | US
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Telephone | 480-641-1511
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Fax | 480-641-4426
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Provider Business Mailing Address
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Address Line | 1235 S POWER RD
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City | MESA
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State | AZ
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Zip | 85206-3712
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Country | US
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Telephone | 480-641-1511
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Fax | 480-641-4426
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SYLVIA RYAN
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Credential | O.D.
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Telephone | 480-641-1511
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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 | AZ850
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License Number State | AZ
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