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General NPI Number Information
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NPI Number | 1740149160
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Entity Type | Organization
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Legal Business Name | AMANDA RANOLA OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 994 LAUREL RD SUITE B
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City | OAKLEY
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State | CA
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Zip | 94561
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Country | US
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Telephone | 925-285-4741
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 MANRESA SHORE LN
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City | OAKLEY
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State | CA
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Zip | 94561-3542
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Country | US
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Telephone | 925-285-4741
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA RANOLA
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Credential | OD
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Telephone | 925-285-4741
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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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