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General NPI Number Information
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NPI Number | 1619057841
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Entity Type | Organization
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Legal Business Name | LOPRESTO EYE CARE INC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13801 BRUCE B DOWNS BLVD SUITE 301
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City | TAMPA
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State | FL
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Zip | 33613-3939
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Country | US
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Telephone | 813-971-2715
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Fax | 813-972-5077
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Provider Business Mailing Address
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Address Line | 13801 BRUCE B DOWNS BLVD SUITE 301
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City | TAMPA
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State | FL
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Zip | 33613-3939
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Country | US
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Telephone | 813-971-2715
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Fax | 813-972-5077
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | CHRISTOPHER LOPRESTO
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Credential | MD
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Telephone | 813-971-2715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME80852
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License Number State | FL
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