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General NPI Number Information
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NPI Number | 1700976479
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Entity Type | Organization
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Legal Business Name | EYE Q OPTOMETRY INC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 02/15/2011
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Provider Practice Location Address
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Address Line | 7631 WYOMING ST SUITE 101
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City | WESTMINSTER
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State | CA
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Zip | 92683-3904
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Country | US
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Telephone | 714-899-1500
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Fax | 714-899-1509
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Provider Business Mailing Address
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Address Line | 7631 WYOMING ST SUITE 101
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City | WESTMINSTER
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State | CA
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Zip | 92683-3904
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Country | US
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Telephone | 714-899-1500
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Fax | 714-899-1509
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Authorized Official
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Title or Position | OPTOMETRIST/PRESIDENT
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Name | DR. TRANG THUY TRAN
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Credential | OD
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Telephone | 714-899-1500
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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 | 10313T
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License Number State | CA
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