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General NPI Number Information
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NPI Number | 1376991273
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Entity Type | Organization
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Legal Business Name | Q AND H OPTOMETRY INC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 28112 CHARDON RD
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44092-2710
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Country | US
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Telephone | 440-585-1111
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Fax | 440-516-0115
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Provider Business Mailing Address
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Address Line | 1524 SUMMERWOOD DR
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City | BROADVIEW HTS
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State | OH
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Zip | 44147-2845
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Country | US
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Telephone | 440-521-1351
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAYED HASAN
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Credential | O.D.
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Telephone | 440-521-1351
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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 | 4699
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License Number State | OH
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