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General NPI Number Information
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NPI Number | 1528153624
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Entity Type | Organization
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Legal Business Name | ACE OPTICAL COMPANY INC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 153 N 4TH ST
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2131
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Country | US
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Telephone | 740-283-2461
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Fax |
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Provider Business Mailing Address
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Address Line | 153 N 4TH ST
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2131
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. RAYMOND AGRESTA
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Credential |
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Telephone | 740-283-2461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | SC5207
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License Number State | OH
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