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General NPI Number Information
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NPI Number | 1588707541
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Entity Type | Organization
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Legal Business Name | B AND D EYEWORKS
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 203 SEMINOLE TOWN CENTER CIRCLE
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City | SANFORD
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State | FL
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Zip | 32771
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Country | US
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Telephone | 407-328-0570
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Fax |
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Provider Business Mailing Address
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Address Line | 203 SEMINOLE TOWN CENTER CIRCLE
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City | SANFORD
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State | FL
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Zip | 32771
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Country | US
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Telephone |
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Fax |
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Authorized Official
=====================================================
Title or Position | PRESIDENT
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Name | ROBERT BUCHANAN
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Credential |
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Telephone | 407-328-0570
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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 | 2922
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License Number State | FL
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