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General NPI Number Information
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NPI Number | 1689568115
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Entity Type | Organization
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Legal Business Name | UPTOWN EYE ASSOCIATES A PROFESSIONAL OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 4096 PARK BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92103-2620
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Country | US
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Telephone | 619-291-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 4096 PARK BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92103-2620
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Country | US
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Telephone | 619-291-5505
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | CATHERINE SPADY
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Credential |
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Telephone | 503-560-2252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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