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General NPI Number Information
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NPI Number | 1700410727
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Entity Type | Organization
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Legal Business Name | OPTIMIZED VISION & EYE CARE LLC
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Dates
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Enumeration Date | 02/28/2020
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 555 UNIVERSAL DR N
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City | NORTH HAVEN
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State | CT
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Zip | 06473-3142
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Country | US
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Telephone | 203-503-8832
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Fax | 833-929-2456
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Provider Business Mailing Address
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Address Line | 23 OLD FARM RD
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City | WOODBRIDGE
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State | CT
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Zip | 06525-2400
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Country | US
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Telephone | 203-503-8832
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | XIUYANG GUO
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Credential | OD
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Telephone | 203-503-8832
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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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