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General NPI Number Information
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NPI Number | 1720977598
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Entity Type | Organization
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Legal Business Name | EAST VALLEY EYE CARE PLLC
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Dates
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Enumeration Date | 06/28/2025
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 37854 N GANTZEL RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85140-3104
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Country | US
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Telephone | 281-433-7447
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Fax |
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Provider Business Mailing Address
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Address Line | 10506 E SHEFFIELD DR
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City | MESA
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State | AZ
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Zip | 85212-9404
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Country | US
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Telephone | 281-433-7447
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | ERIC DOLLAR
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Credential | OD
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Telephone | 281-433-7447
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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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