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General NPI Number Information
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NPI Number | 1790955862
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Entity Type | Organization
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Legal Business Name | FOR EYES OF CINCINNATI
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 5112 CEDAR VILLAGE DR
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City | MASON
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State | OH
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Zip | 45040-3717
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Country | US
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Telephone | 513-770-4220
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Fax | 513-770-4120
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Provider Business Mailing Address
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Address Line | 5112 CEDAR VILLAGE DR
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City | MASON
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State | OH
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Zip | 45040-3717
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Country | US
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Telephone | 513-770-4220
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Fax | 513-770-4120
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Authorized Official
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Title or Position | OWNER
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Name | JASON SINGH
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Credential | OD
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Telephone | 513-770-4220
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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 | 4969T
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License Number State | OH
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