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General NPI Number Information
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NPI Number | 1821008467
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Entity Type | Organization
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Legal Business Name | OPTICAL CENTER INC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1100 REISTERSTOWN ROAD SUITE 104
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City | PIKESVILLE
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State | MD
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Zip | 21208
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Country | US
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Telephone | 410-484-8700
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Fax | 410-484-8015
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Provider Business Mailing Address
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Address Line | 1100 REISTERSTOWN ROAD SUITE 104
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City | PIKESVILLE
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State | MD
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Zip | 21208
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Country | US
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Telephone | 410-484-8700
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Fax | 410-484-8015
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SANDRA L BANK
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Credential |
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Telephone | 410-484-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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