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General NPI Number Information
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NPI Number | 1699569418
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Entity Type | Organization
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Legal Business Name | THIRD OPTOMETRIC CARE OF CALIFORNIA PC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1211 MARICOPA HWY STE 101
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City | OJAI
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State | CA
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Zip | 93023-3165
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Country | US
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Telephone | 805-646-5109
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Fax | 805-646-3519
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Provider Business Mailing Address
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Address Line | 3333 QUALITY DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7985
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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 | AUTHORIZED OFFICIAL
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Name | BRITTANY HARRISON
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Credential |
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Telephone | 512-316-4603
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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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