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General NPI Number Information
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NPI Number | 1609314673
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Entity Type | Organization
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Legal Business Name | OPTIMUM VISION AND EYE CARE, PLLC
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 8406 E SHEA BLVD SUITE 102
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6659
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Country | US
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Telephone | 602-559-5491
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Fax |
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Provider Business Mailing Address
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Address Line | 9986 E ACACIA DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2378
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Country | US
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Telephone | 602-559-5491
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANISHA BHATNAGAR GEIGER
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Credential | OD
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Telephone | 602-559-5491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 969
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License Number State | AZ
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