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General NPI Number Information
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NPI Number | 1942998588
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Entity Type | Organization
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Legal Business Name | WEST VALLEY VISION CARE LLC
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 8332 W BAJADA RD
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City | PEORIA
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State | AZ
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Zip | 85383-3880
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Country | US
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Telephone | 714-504-8545
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Fax |
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Provider Business Mailing Address
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Address Line | 8332 W BAJADA RD
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City | PEORIA
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State | AZ
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Zip | 85383-3880
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Country | US
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Telephone | 714-504-8545
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Fax |
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Authorized Official
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Title or Position | OWNER/OD
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Name | DR. ERIC SCOTT GIESE
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Credential | OD
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Telephone | 714-504-8545
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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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