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General NPI Number Information
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NPI Number | 1821116971
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OPTICAL, INC.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 2201 MCKOWN DR
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City | NORMAN
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State | OK
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Zip | 73072-6601
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Country | US
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Telephone | 405-364-8220
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Fax | 405-579-8409
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Provider Business Mailing Address
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Address Line | PO BOX 579
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City | NORMAN
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State | OK
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Zip | 73070-0579
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Country | US
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Telephone | 405-364-8220
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Fax | 405-579-8409
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Authorized Official
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Title or Position | OPTICIAN
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Name | ANDY C. MASTERS JR.
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Credential |
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Telephone | 405-364-8220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | OK
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