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General NPI Number Information
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NPI Number | 1689870842
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Entity Type | Organization
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Legal Business Name | CLEAR VIEW EYE CARE, OD, PA
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 2435 PLANTATION CENTER DR STE 120
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City | MATTHEWS
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State | NC
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Zip | 28105-5147
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Country | US
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Telephone | 704-280-3999
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Fax | 704-341-9730
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Provider Business Mailing Address
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Address Line | 2435 PLANTATION CENTER DR STE 120
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City | MATTHEWS
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State | NC
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Zip | 28105-5147
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. SAM R HOBBS
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Credential | O.D.
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Telephone | 704-280-3999
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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 | 1953
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1905
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License Number State | NC
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