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General NPI Number Information
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NPI Number | 1760133698
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Entity Type | Organization
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Legal Business Name | BRIGHT SIGHT OPTOMETRY PLLC
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 18680 S NOGALES HWY
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City | GREEN VALLEY
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State | AZ
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Zip | 85614-5284
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Country | US
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Telephone | 520-625-7949
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Fax | 520-625-7951
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Provider Business Mailing Address
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Address Line | 3598 E FELIX BLVD
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City | TUCSON
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State | AZ
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Zip | 85706-1962
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Country | US
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Telephone | 714-837-9834
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | TRINITY T LE
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Credential | O.D
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Telephone | 714-837-9834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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