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General NPI Number Information
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NPI Number | 1356132013
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Entity Type | Organization
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Legal Business Name | CAT EYE VISION OPTOMETRY
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1320 BROADWAY PLZ
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5129
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Country | US
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Telephone | 925-939-3591
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Fax |
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Provider Business Mailing Address
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Address Line | 20120 EDWIN MARKHAM DR
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City | CASTRO VALLEY
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State | CA
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Zip | 94552-5093
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Country | US
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Telephone | 510-999-2449
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | CATHERINE M ACADEMIA
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Credential | OD
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Telephone | 510-999-2449
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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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