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General NPI Number Information
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NPI Number | 1467293340
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Entity Type | Organization
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Legal Business Name | MENDEZ EYES OPTICAL LLC
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 5950 W OAKLAND PARK BLVD
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City | LAUDERHILL
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State | FL
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Zip | 33313-1238
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Country | US
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Telephone | 954-717-4066
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Fax |
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Provider Business Mailing Address
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Address Line | 5950 W OAKLAND PARK BLVD
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City | LAUDERHILL
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State | FL
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Zip | 33313-1238
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Country | US
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Telephone | 954-717-4066
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OSCAR MENDEZ
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Credential | MD
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Telephone | 954-717-4066
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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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