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General NPI Number Information
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NPI Number | 1982722633
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Entity Type | Organization
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Legal Business Name | EYES OF THE WORLD OF OHIO INC.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 13894 CEDAR RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3210
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Country | US
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Telephone | 216-932-3937
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Fax | 216-371-0799
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Provider Business Mailing Address
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Address Line | 13894 CEDAR RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3210
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Country | US
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Telephone | 216-932-3937
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Fax |
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Authorized Official
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Title or Position | LICENSED OPTICIAN
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Name | MR. DAVID E WAHBA
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Credential | LDO
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Telephone | 216-932-3937
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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 | 3694SC
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License Number State | OH
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