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General NPI Number Information
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NPI Number | 1528853314
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Entity Type | Organization
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Legal Business Name | DR SEO EYECARE OPTOMETRY INC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 3525 W 8TH ST STE 107
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City | LOS ANGELES
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State | CA
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Zip | 90005-5030
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Country | US
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Telephone | 704-962-5277
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Fax |
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Provider Business Mailing Address
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Address Line | 750 S OXFORD AVE APT 410
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City | LOS ANGELES
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State | CA
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Zip | 90005-4628
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Country | US
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Telephone | 704-962-5277
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | JIN SEO
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Credential | O.D
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Telephone | 704-962-5277
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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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