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General NPI Number Information
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NPI Number | 1518160886
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Entity Type | Organization
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Legal Business Name | AC EYECARE, INC.
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13206 BOTHELL EVERETT HWY SUITE 401D
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City | MILL CREEK
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State | WA
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Zip | 98012-5507
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Country | US
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Telephone | 425-379-9080
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Fax | 425-379-9085
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Provider Business Mailing Address
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Address Line | 1123 N 78TH ST
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City | SEATTLE
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State | WA
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Zip | 98103-4811
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Country | US
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Telephone | 253-709-0259
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Fax | 206-528-8061
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMENDA YEN-WEN CHOU
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Credential | O.D.
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Telephone | 253-709-0259
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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 | WA3761TX
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License Number State | WA
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