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General NPI Number Information
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NPI Number | 1982877007
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Entity Type | Organization
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Legal Business Name | COMPUTEREYES.COM INC.
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 1311 LYONS RD
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City | COCONUT CREEK
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State | FL
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Zip | 33063-3927
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Country | US
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Telephone | 954-972-9393
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Fax | 954-979-9303
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Provider Business Mailing Address
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Address Line | 1311 LYONS RD
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City | COCONUT CREEK
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State | FL
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Zip | 33063-3927
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Country | US
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Telephone | 954-972-9393
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Fax | 954-979-9303
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Authorized Official
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Title or Position | OPTICIAN
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Name | MS. SHELLEY I GOGEL
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Credential | LDO
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Telephone | 954-972-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 0004618
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License Number State | FL
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