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General NPI Number Information
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NPI Number | 1336963800
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Entity Type | Organization
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Legal Business Name | O'BRIEN OPTICS LLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 35901 CHESTER RD
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City | AVON
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State | OH
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Zip | 44011-1005
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Country | US
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Telephone | 440-937-4750
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Fax |
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Provider Business Mailing Address
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Address Line | 4526 BELLERIVE WAY
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City | AVON
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State | OH
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Zip | 44011-3214
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Country | US
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Telephone | 440-539-8853
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL O'BRIEN
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Credential | OD
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Telephone | 440-539-8853
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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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