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General NPI Number Information
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NPI Number | 1558417428
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Entity Type | Organization
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Legal Business Name | EYE CONNECTION INCORPORATED
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 208 VINTAGE WAY STE K11
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City | NOVATO
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State | CA
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Zip | 94945-5058
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Country | US
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Telephone | 415-897-3377
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Fax | 415-897-5722
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Provider Business Mailing Address
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Address Line | 208 VINTAGE WAY STE K11
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City | NOVATO
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State | CA
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Zip | 94945-5058
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Country | US
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Telephone | 415-897-3377
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Fax | 415-897-5722
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Authorized Official
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Title or Position | CEO
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Name | CHRIS KIM
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Credential | DISPENSING OPTICIAN
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Telephone | 415-897-3377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FC0801X
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Taxonomy Name | Contact Lens Fitter
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License Number | CL648
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | SL1717
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License Number State | CA
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