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General NPI Number Information
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NPI Number | 1528908829
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Entity Type | Organization
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Legal Business Name | MOLINA OPTOMETRY CORP
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 741 SHADOWRIDGE DR
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City | VISTA
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State | CA
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Zip | 92083-7997
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Country | US
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Telephone | 760-727-1844
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Fax |
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Provider Business Mailing Address
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Address Line | 741 SHADOWRIDGE DR
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City | VISTA
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State | CA
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Zip | 92083-7997
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Country | US
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Telephone | 858-717-7665
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | MARIA CAMILA MOLINA VELANDIA
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Credential | OD
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Telephone | 858-717-7665
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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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