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General NPI Number Information
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NPI Number | 1972609071
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Entity Type | Organization
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Legal Business Name | THE OPTICAL PLACE, INC.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 2633 RANDLEMAN RD
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City | GREENSBORO
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State | NC
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Zip | 27406-5107
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Country | US
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Telephone | 336-274-1300
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Fax | 336-370-1273
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Provider Business Mailing Address
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Address Line | 2633 RANDLEMAN RD
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City | GREENSBORO
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State | NC
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Zip | 27406-5107
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Country | US
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Telephone | 336-274-1300
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Fax |
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Authorized Official
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Title or Position | OPTICIAN/STORE MANAGER
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Name | MRS. TERESA H CARTER
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Credential |
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Telephone | 336-274-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NC
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