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General NPI Number Information
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NPI Number | 1881159531
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Entity Type | Organization
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Legal Business Name | EYEC VISION PROFESSIONAL OPTOMETRY CORP.
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 1150 HARTER PKWY
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City | YUBA CITY
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State | CA
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Zip | 95993-2642
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Country | US
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Telephone | 530-751-0158
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Fax |
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Provider Business Mailing Address
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Address Line | 3766 LAKE KATIE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95834-7697
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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 | CEO
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Name | THUY TRAN
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Credential |
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Telephone | 916-595-3073
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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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