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NPI 1306766746

NPI 1306766746 : SUNNY VIEW OPTOMETRY LLC : CLACKAMAS, OR

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General NPI Number Information
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    NPI Number           |    1306766746
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    Entity Type          |    Organization 
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    Legal Business Name  |    SUNNY VIEW OPTOMETRY LLC 
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Dates
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    Enumeration Date     |    07/16/2026
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    Last Update Date     |    07/16/2026
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Provider Practice Location Address
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    Address Line         |    13130 SE 84TH AVE 
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    City                 |    CLACKAMAS
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    State                |    OR
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    Zip                  |    97015-9733
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    Country              |    US
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    Telephone            |    503-303-4381
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    Fax                  |    503-794-5529
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Provider Business Mailing Address
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    Address Line         |    13130 SE 84TH AVE 
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    City                 |    CLACKAMAS
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    State                |    OR
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    Zip                  |    97015-9733
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    Country              |    US
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    Telephone            |    503-303-4381
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    Fax                  |    503-794-5529
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Authorized Official
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    Title or Position    |    OWNER/DOCTOR
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    Name                 |    DR. MARK ALBERT BREEDEN 
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    Credential           |    OD
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    Telephone            |    541-840-3168
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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       |    
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    License Number State |    
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