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General NPI Number Information
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NPI Number | 1366858417
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Entity Type | Organization
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Legal Business Name | GLOBAL EYECARE
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 08/10/2017
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Provider Practice Location Address
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Address Line | 12400 SE 38TH ST # 53083
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City | BELLEVUE
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State | WA
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Zip | 98006-1202
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Country | US
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Telephone | 917-727-9424
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Fax |
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Provider Business Mailing Address
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Address Line | 22530 SE 64TH PLACE STE 140
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City | ISSAQUAH
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State | WA
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Zip | 98027
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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 | OPTOMETRIC PHYSICIAN
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Name | DR. ERIC CHANG
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Credential |
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Telephone | 917-727-9424
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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 | OD60035981
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License Number State | WA
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