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General NPI Number Information
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NPI Number | 1346397445
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Entity Type | Organization
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Legal Business Name | SIGHT TO SEE VISION ASSOCIATES P C INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 04/10/2009
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Provider Practice Location Address
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Address Line | 701 S BROADWAY
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City | EDMOND
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State | OK
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Zip | 73034-3936
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Country | US
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Telephone | 405-341-7055
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Fax | 405-348-7702
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Provider Business Mailing Address
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Address Line | 701 S BROADWAY
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City | EDMOND
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State | OK
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Zip | 73034-3936
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Country | US
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Telephone | 405-341-7055
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Fax | 405-348-7702
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DAINA SUE SIMON
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Credential |
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Telephone | 405-341-7055
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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 | OK0841
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License Number State | OK
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