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General NPI Number Information
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NPI Number | 1497034425
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Entity Type | Organization
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Legal Business Name | L V OPTOMETRY, INC.
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 375 WILDE AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94134-2251
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Country | US
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Telephone | 650-701-3926
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 EL CAMINO REAL
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City | MILLBRAE
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State | CA
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Zip | 94030-2013
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Country | US
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Telephone | 650-701-3926
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | VICTORIA FENG
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Credential | O.D.
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Telephone | 650-701-3926
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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 | 12878
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License Number State | CA
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