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General NPI Number Information
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NPI Number | 1548067655
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Entity Type | Organization
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Legal Business Name | EYECARE FOR VISION OPTOMETRY, INC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 16516 BERNARDO CENTER DR STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92128-2552
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Country | US
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Telephone | 619-302-0371
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Fax |
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Provider Business Mailing Address
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Address Line | 6755 MIRA MESA BLVD STE 123-173
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City | SAN DIEGO
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State | CA
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Zip | 92121-4392
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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 | OPTOMETRIST
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Name | DR. PATTY L CHENG
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Credential | OD
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Telephone | 619-665-3769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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