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General NPI Number Information
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NPI Number | 1619443397
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Entity Type | Organization
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Legal Business Name | CLARITY VISION CENTER INC.
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 1900 S UNIVERSITY DR
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City | MIRAMAR
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State | FL
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Zip | 33025-2230
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Country | US
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Telephone | 954-431-3060
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Fax | 954-431-4002
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Provider Business Mailing Address
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Address Line | 7792 DEERCREEK CT
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City | DAVIE
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State | FL
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Zip | 33328-3826
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Country | US
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Telephone | 804-205-4363
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/VISION CARE PROVIDER
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Name | DR. MATTHEW RODRIGUEZ
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Credential | OD
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Telephone | 804-205-4363
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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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