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General NPI Number Information
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NPI Number | 1891654091
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Entity Type | Organization
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Legal Business Name | UC BERKELEY EMERYVILLE EYE CENTER
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 3840 SAN PABLO AVENUE
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City | EMERYVILLE
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State | CA
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Zip | 94608
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Country | US
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Telephone | 510-642-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 3840 SAN PABLO AVENUE
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City | EMERYVILLE
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State | CA
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Zip | 94608
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Country | US
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Telephone | 510-642-2020
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Fax |
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Authorized Official
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Title or Position | SCHOOL OF OPTOMETRY CFO
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Name | LUIS FERNANDO RUIZ
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Credential |
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Telephone | 510-717-2110
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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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