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General NPI Number Information
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NPI Number | 1588454144
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Entity Type | Organization
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Legal Business Name | WEK OPTOMETRY, P.C.
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 990 AVENIDA VISTA HERMOSA
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-6360
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Country | US
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Telephone | 949-351-3027
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MATISSE CIR
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3859
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Country | US
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Telephone | 949-351-3027
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | JACLYN WEK
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Credential | OD
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Telephone | 949-351-3027
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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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