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General NPI Number Information
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NPI Number | 1952062267
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Entity Type | Organization
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Legal Business Name | LE-ASIS OPTOMETRY, INC.
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Dates
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Enumeration Date | 01/08/2022
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 7041 SCHAEFER AVE STE E
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City | CHINO
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State | CA
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Zip | 91710-9113
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Country | US
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Telephone | 951-660-7699
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Fax |
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Provider Business Mailing Address
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Address Line | 7041 SCHAEFER AVE STE E
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City | CHINO
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State | CA
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Zip | 91710-9113
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Country | US
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Telephone | 909-679-6344
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Fax | 909-546-5700
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | PATRICIA LE
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Credential | OD
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Telephone | 951-660-7699
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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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