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General NPI Number Information
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NPI Number | 1598693764
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Entity Type | Organization
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Legal Business Name | SEASIDE OPTOMETRY, INC.
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Dates
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Enumeration Date | 05/09/2026
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Last Update Date | 05/09/2026
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Provider Practice Location Address
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Address Line | 701 W CENTRAL AVE
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City | LOMPOC
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State | CA
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Zip | 93436-2829
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Country | US
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Telephone | 530-515-7290
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Fax |
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Provider Business Mailing Address
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Address Line | 965 SAVANNAH DR
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City | GROVER BEACH
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State | CA
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Zip | 93433-3838
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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 | CEO,CFO
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Name | BRADLEY HAMAR
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Credential | OD
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Telephone | 530-515-7290
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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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