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General NPI Number Information
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NPI Number | 1285293084
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Entity Type | Organization
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Legal Business Name | OPTICAL CENTER EXPRESS, LLC
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Dates
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Enumeration Date | 06/06/2019
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 900 NW 17TH ST
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City | MIAMI
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State | FL
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Zip | 33136-1119
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Country | US
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Telephone | 305-326-6092
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Fax |
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Provider Business Mailing Address
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Address Line | 900 NW 17TH ST
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City | MIAMI
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State | FL
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Zip | 33136-1119
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Country | US
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Telephone | 305-326-6092
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ANGEL PEREZ
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Credential |
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Telephone | 305-401-2163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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Taxonomy #3
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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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