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General NPI Number Information
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NPI Number | 1962619288
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Entity Type | Organization
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Legal Business Name | COMPLETE EYE CARE CENTER
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3121 IMPERIAL HWY
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City | INGLEWOOD
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State | CA
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Zip | 90303
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Country | US
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Telephone | 310-330-0094
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Fax | 310-330-8282
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Provider Business Mailing Address
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Address Line | 3121 W IMPERIAL HWY
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City | INGLEWOOD
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State | CA
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Zip | 90303
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Country | US
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Telephone | 310-330-0094
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Fax | 310-330-8282
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ILENE STEINHAUER
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Credential |
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Telephone | 310-330-0094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 7241
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License Number State | CA
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