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General NPI Number Information
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NPI Number | 1477250744
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Entity Type | Organization
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Legal Business Name | CHENG OPTOMETRIC GROUP, INC
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 27785 SANTA MARGARITA PKWY STE 200
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6652
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Country | US
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Telephone | 949-670-0199
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Fax | 949-670-0547
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Provider Business Mailing Address
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Address Line | 3972 BARRANCA PKWY STE J216
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City | IRVINE
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State | CA
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Zip | 92606-1204
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Country | US
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Telephone | 925-395-3500
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. CHRISTINE CHENG
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Credential | OD
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Telephone | 925-395-3500
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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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