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General NPI Number Information
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NPI Number | 1982940912
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Entity Type | Organization
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Legal Business Name | OMNI EYE CARE, INC.
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Dates
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Enumeration Date | 12/19/2012
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 554 E SAN BERNARDINO RD SUITE 102
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City | COVINA
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State | CA
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Zip | 91723-1747
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Country | US
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Telephone | 626-332-1888
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Fax | 626-332-1808
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Provider Business Mailing Address
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Address Line | 554 E SAN BERNARDINO RD SUITE 102
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City | COVINA
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State | CA
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Zip | 91723-1747
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Country | US
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Telephone | 626-332-1888
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Fax | 626-332-1808
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHELLY BAGAI LAPSI
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Credential | M.D.
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Telephone | 206-354-2604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60095532
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A114121
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A114121
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License Number State | CA
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