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NPI 1821737347

NPI 1821737347 : EYE CARE NOW, PLLC : EDMOND, OK

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General NPI Number Information
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    NPI Number           |    1821737347
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    Entity Type          |    Organization 
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    Legal Business Name  |    EYE CARE NOW, PLLC 
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Dates
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    Enumeration Date     |    06/02/2022
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    Last Update Date     |    08/26/2022
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Provider Practice Location Address
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    Address Line         |    1851 S. KELLY AVE SUITE B
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73013
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    Country              |    US
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    Telephone            |    405-393-2273
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    Fax                  |    405-907-1851
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Provider Business Mailing Address
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    Address Line         |    1851 S. KELLY AVE SUITE B
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73013
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    Country              |    US
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    Telephone            |    405-373-2273
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    Fax                  |    405-607-6685
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |    DR. SANDEEP  SHAH 
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    Credential           |    MD
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    Telephone            |    405-373-2273
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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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Taxonomy #2
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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