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General NPI Number Information
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NPI Number | 1891982781
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Entity Type | Organization
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Legal Business Name | CLEAR VISION EYE CARE, P.C.
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 570 FALLBROOK BLVD. SUITE 108
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City | LINCOLN
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State | NE
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Zip | 68521-6634
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Country | US
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Telephone | 402-742-0399
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Fax |
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Provider Business Mailing Address
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Address Line | 570 FALLBROOK BLVD SUITE 108
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City | LINCOLN
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State | NE
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Zip | 68521-9016
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Country | US
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Telephone | 402-742-0399
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW D BATEMAN
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Credential | O.D.
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Telephone | 402-742-0399
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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 | 1279-457
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License Number State | NE
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