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General NPI Number Information
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NPI Number | 1902438286
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Entity Type | Organization
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Legal Business Name | CLARITY EYE CENTER PA
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 1075 OAKLEAF PLANTATION PKWY STE 300
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City | ORANGE PARK
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State | FL
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Zip | 32065-3625
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Country | US
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Telephone | 334-467-9776
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Fax |
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Provider Business Mailing Address
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Address Line | 4133 EAGLE LANDING PKWY
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City | ORANGE PARK
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State | FL
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Zip | 32065-2634
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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 | PRESIDENT
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Name | DR. CHANDRA M WILLIAMS
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Credential | O.D.
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Telephone | 334-467-9776
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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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