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General NPI Number Information
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NPI Number | 1720305170
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Entity Type | Organization
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Legal Business Name | CONTACTS AND GLASSES
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 1124 S WICKHAM RD
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-2442
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Country | US
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Telephone | 321-752-5454
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Fax | 321-752-5405
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Provider Business Mailing Address
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Address Line | PO BOX 121066
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City | WEST MELBOURNE
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State | FL
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Zip | 32912-1066
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Country | US
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Telephone | 321-759-3510
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Fax | 321-752-5405
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK MORREALE
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Credential | O.D.
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Telephone | 321-752-5454
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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 | OP-3146
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License Number State | FL
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Taxonomy #2
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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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