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General NPI Number Information
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NPI Number | 1295257210
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Entity Type | Organization
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Legal Business Name | 20-20 VISIONOC OPTOMETRY, INC
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 15622 BROOKHURST ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-7573
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Country | US
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Telephone | 714-775-4554
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Fax |
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Provider Business Mailing Address
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Address Line | 15622 BROOKHURST ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-7573
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Country | US
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Telephone | 714-775-4554
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBBIE CHEN
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Credential | OD
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Telephone | 714-775-4553
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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 | 12969
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License Number State | CA
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