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General NPI Number Information
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NPI Number | 1699816751
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Entity Type | Organization
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Legal Business Name | EYE VISION OPTICAL,INC.
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Dates
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Enumeration Date | 02/10/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1551 CHAMPA ST
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City | DENVER
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State | CO
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Zip | 80202-2908
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Country | US
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Telephone | 303-534-8811
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Fax | 303-825-0109
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Provider Business Mailing Address
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Address Line | 1551 CHAMPA ST
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City | DENVER
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State | CO
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Zip | 80202-2908
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Country | US
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Telephone | 303-534-8811
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Fax | 303-825-0109
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAFAR TALYAI
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Credential | OPTICIAN
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Telephone | 303-534-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 2292093
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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License Number | 2292093
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License Number State | CO
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