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General NPI Number Information
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NPI Number | 1518480078
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Entity Type | Organization
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Legal Business Name | OCEANA VISION CARE LLC
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 24 S MICHIGAN AVE
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City | SHELBY
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State | MI
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Zip | 49455-1226
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Country | US
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Telephone | 231-861-5417
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Fax | 231-861-6655
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Provider Business Mailing Address
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Address Line | 24 S MICHIGAN AVE
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City | SHELBY
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State | MI
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Zip | 49455-1226
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Country | US
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Telephone | 231-861-5417
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Fax | 231-861-6655
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH E MORSE
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Credential | OD
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Telephone | 231-861-5417
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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 | 4901004818
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License Number State | MI
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