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General NPI Number Information
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NPI Number | 1346825734
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Entity Type | Organization
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Legal Business Name | HEAL MY EYES OPTOMETRY
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 1844 SAN MIGUEL DR STE 300C
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City | WALNUT CREEK
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State | CA
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Zip | 94596-4962
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Country | US
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Telephone | 510-693-8053
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Fax |
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Provider Business Mailing Address
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Address Line | 1844 SAN MIGUEL DR STE 300C
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City | WALNUT CREEK
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State | CA
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Zip | 94596-4962
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | NGUYEN TRAN
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Credential |
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Telephone | 916-719-0615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State |
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