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General NPI Number Information
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NPI Number | 1316854128
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Entity Type | Organization
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Legal Business Name | LORENA VISION CENTER OPTOMETRY
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | CARR #3 KM 43.3 PLAZA FAJARDO WALMART VISION CENTE
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 626-252-1702
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Fax | 626-252-1702
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Provider Business Mailing Address
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Address Line | 3350 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90023-2206
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Country | US
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Telephone | 626-252-1702
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Fax | 626-252-1702
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUIS MIGUEL PEREZ
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Credential | PEREZ
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Telephone | 626-252-1702
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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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