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General NPI Number Information
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NPI Number | 1831527811
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Entity Type | Organization
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Legal Business Name | WESTLAKE VISION CENTER OPTOMETRY INC, A PROFESSIONAL OPTOMETRIC CORP
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 326 WESTLAKE CTR
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City | DALY CITY
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State | CA
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Zip | 94015-1431
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Country | US
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Telephone | 650-992-2020
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Fax | 650-992-1105
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Provider Business Mailing Address
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Address Line | 326 WESTLAKE CTR
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City | DALY CITY
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State | CA
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Zip | 94015-1431
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Country | US
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Telephone | 650-992-2020
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Fax | 650-992-1105
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Authorized Official
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Title or Position | TREASURER
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Name | JOANN NOMURA YAMADA
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Credential | OD
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Telephone | 925-360-1384
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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 | 7392T
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License Number State | CA
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