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General NPI Number Information
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NPI Number | 1316805716
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Entity Type | Organization
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Legal Business Name | NA OPTOMETRY LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 4500 S DOBSON RD
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City | CHANDLER
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State | AZ
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Zip | 85248-4907
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Country | US
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Telephone | 480-715-0082
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Fax |
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Provider Business Mailing Address
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Address Line | 5082 S FERN CT
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City | CHANDLER
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State | AZ
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Zip | 85248-6096
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Country | US
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Telephone | 323-337-2080
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | LIAH REE NA
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Credential | OD
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Telephone | 323-337-2080
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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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