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General NPI Number Information
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NPI Number | 1326058751
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Entity Type | Organization
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Legal Business Name | OPTICAL EYELAND, INC.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 03/06/2015
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Provider Practice Location Address
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Address Line | 730 S ORANGE BLOSSOM TRL
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City | APOPKA
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State | FL
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Zip | 32703-6558
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Country | US
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Telephone | 407-880-0335
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Fax | 407-880-6782
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Provider Business Mailing Address
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Address Line | 730 S ORANGE BLOSSOM TRL
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City | APOPKA
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State | FL
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Zip | 32703-6558
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Country | US
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Telephone | 407-880-0335
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Fax | 407-880-6782
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIE PINCKNEY BAYLY
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Credential |
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Telephone | 407-880-0335
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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 | DO5279
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License Number State | FL
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