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General NPI Number Information
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NPI Number | 1851418263
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Entity Type | Organization
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Legal Business Name | MEDICAL & SURGICAL EYE SPECIALISTS INC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 05/15/2009
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Provider Practice Location Address
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Address Line | 200 MEDICAL PKWY SUITE 209
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4911
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Country | US
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Telephone | 757-547-9751
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Fax | 757-547-1876
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Provider Business Mailing Address
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Address Line | 6315 NORTH CENTER DR BLDG 20 SUITE 230
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City | NORFOLK
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State | VA
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Zip | 23502-3931
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ERIC A ADAMS
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Credential | MD
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Telephone | 757-461-7974
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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 | 7009955
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License Number State | VA
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