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General NPI Number Information
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NPI Number | 1952485294
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Entity Type | Organization
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Legal Business Name | I DO EYES, INC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 504 NEWPORT CIR
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City | LANGHORNE
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State | PA
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Zip | 19053-2489
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Country | US
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Telephone | 215-355-1300
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Fax | 215-355-8745
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Provider Business Mailing Address
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Address Line | 225 BUSTLETON PIKE
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City | LANGHORNE
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State | PA
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Zip | 19053-6448
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Country | US
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Telephone | 215-355-1300
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Fax | 215-355-8745
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Authorized Official
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Title or Position | OWNER/PRES
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Name | DR. JEFFREY GOLD
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Credential | O.D.
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Telephone | 215-355-1300
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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 | OEG-000757
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License Number State | PA
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