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General NPI Number Information
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NPI Number | 1346312014
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY EYECARE OPTOMETRY INC .
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 1201 N ROSE DR STE 100
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City | PLACENTIA
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State | CA
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Zip | 92870-3939
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Country | US
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Telephone | 714-528-2566
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Fax | 714-993-5369
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Provider Business Mailing Address
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Address Line | 1201 N ROSE DR STE 100
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City | PLACENTIA
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State | CA
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Zip | 92870-3939
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Country | US
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Telephone | 714-528-2566
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Fax | 714-993-5369
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. MICHAEL SWEARINGEN
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Credential | O.D.
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Telephone | 714-528-2566
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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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