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General NPI Number Information
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NPI Number | 1275800930
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Entity Type | Organization
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Legal Business Name | CALIFORNIA EYE CENTER
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 1414 S GRAND AVE SUITE 100-C
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City | LOS ANGELES
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State | CA
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Zip | 90015-3067
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Country | US
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Telephone | 213-749-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 1414 S GRAND AVE SUITE 100-C
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City | LOS ANGELES
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State | CA
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Zip | 90015-3067
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Country | US
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Telephone | 213-749-5555
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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. MATTHEW A BERNSTEIN
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Credential | M.D.
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Telephone | 213-749-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | C30903
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License Number State | CA
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