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General NPI Number Information
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NPI Number | 1295661288
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Entity Type | Individual
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Provider Name | MALIK MOHAMMED JAYBER OD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 25102 BROOKPARK RD
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-6414
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Country | US
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Telephone | 440-875-5542
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 JOHNSTONE WAY
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City | WESTLAKE
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State | OH
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Zip | 44145-2913
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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 |
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Name |
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Credential |
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Telephone |
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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 | OPT.007497
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License Number State | OH
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