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General NPI Number Information
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NPI Number | 1447569678
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Entity Type | Organization
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Legal Business Name | ALL EYES OPTOMETRY INC
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 5366 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90019-4036
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Country | US
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Telephone | 323-454-8454
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Fax |
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Provider Business Mailing Address
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Address Line | 5366 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90019-4036
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Country | US
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Telephone | 323-454-8454
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ANITA KERENDIAN-HAKIMI
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Credential | O.D.
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Telephone | 323-454-8454
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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 | 10532T
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License Number State | CA
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