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General NPI Number Information
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NPI Number | 1427498344
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Entity Type | Organization
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Legal Business Name | CLEARVIEW EYE CARE, INC
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 1932 KEMPSVILLE RD #106
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6953
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Country | US
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Telephone | 757-275-9090
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Fax | 757-275-9092
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Provider Business Mailing Address
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Address Line | 1932 KEMPSVILLE RD #106
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6953
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Country | US
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Telephone | 757-275-9090
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Fax | 757-275-9092
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RUSSELL ARTHUR BEACH
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Credential | OD
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Telephone | 757-275-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001498
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License Number State | VA
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