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General NPI Number Information
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NPI Number | 1720290737
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Entity Type | Organization
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Legal Business Name | MOBILE EYECARE INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 7029 ROYALTON RD
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-4816
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Country | US
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Telephone | 440-230-1612
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Fax |
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Provider Business Mailing Address
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Address Line | 7029 ROYALTON RD
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-4816
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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 | PRESIDENT
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Name | DR. ALEXANDAR ANDRICH
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Credential | O.D.
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Telephone | 440-230-1612
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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 | 4693
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License Number State | OH
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