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General NPI Number Information
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NPI Number | 1306983366
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Entity Type | Organization
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Legal Business Name | OPTICSPLUS INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1607 WESTOVER TER
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City | GREENSBORO
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State | NC
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Zip | 27408-1996
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Country | US
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Telephone | 336-288-9504
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Fax | 336-282-1957
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Provider Business Mailing Address
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Address Line | 1607 WESTOVER TER
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City | GREENSBORO
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State | NC
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Zip | 27408-1996
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Country | US
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Telephone | 336-288-9504
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Fax | 336-282-1957
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Authorized Official
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Title or Position | OWNER
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Name | MR. BERNARD DEHOOG
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Credential | OPTICIAN
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Telephone | 336-288-9504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 993
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License Number State | NC
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