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General NPI Number Information
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NPI Number | 1255419909
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Entity Type | Organization
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Legal Business Name | EUGENE EYEWEAR, P.C.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 207 COBURG RD SUITE 105
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City | EUGENE
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State | OR
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Zip | 97401
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Country | US
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Telephone | 541-338-4844
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Fax |
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Provider Business Mailing Address
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Address Line | 207 COBURG RD SUITE 105
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City | EUGENE
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State | OR
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Zip | 97401
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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/OPTOMETRIST
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Name | STEVE JUNG
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Credential | O.D.
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Telephone | 541-338-4844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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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 |
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License Number State |
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