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General NPI Number Information
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NPI Number | 1851495139
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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 | 09/08/2006
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Last Update Date | 05/15/2008
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Provider Practice Location 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 | 757-461-7974
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Fax | 757-461-4829
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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 | 757-461-7974
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Fax | 757-461-4829
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001488
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101052280
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101032511
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License Number State | VA
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