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General NPI Number Information
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NPI Number | 1952581753
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Entity Type | Organization
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Legal Business Name | ORLANDO EYE ASSOCIATES
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 7682 DR PHILLIPS BLVD SUITE A
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City | ORLANDO
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State | FL
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Zip | 32819-5152
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Country | US
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Telephone | 407-351-3880
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Fax | 407-351-4648
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Provider Business Mailing Address
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Address Line | 7682 DR PHILLIPS BLVD SUITE A
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City | ORLANDO
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State | FL
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Zip | 32819-5152
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Country | US
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Telephone | 407-351-3880
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Fax | 407-351-4648
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | MRS. SHELLY M ONEAL
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Credential |
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Telephone | 407-351-3880
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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 | OPC1921
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License Number State | FL
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