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General NPI Number Information
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NPI Number | 1669662789
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Entity Type | Organization
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Legal Business Name | NORTHWEST VALLEY EYE CARE, LLC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 13000 N 103RD AVE STE 94
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City | SUN CITY
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State | AZ
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Zip | 85351-3060
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Country | US
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Telephone | 623-933-2013
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Fax | 623-933-6652
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Provider Business Mailing Address
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Address Line | 13000 N 103RD AVE STE 94
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City | SUN CITY
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State | AZ
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Zip | 85351-3060
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Country | US
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Telephone | 623-933-2013
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Fax | 623-933-6652
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DAVID RICHARD TOLAND II
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Credential | O.D.
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Telephone | 623-933-2013
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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 | AZ949
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License Number State | AZ
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