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General NPI Number Information
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NPI Number | 1003767518
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Entity Type | Organization
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Legal Business Name | POWERS EYE CENTER PLLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 6160 TUTT BLVD STE 220
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-3502
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Country | US
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Telephone | 719-598-5068
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Fax |
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Provider Business Mailing Address
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Address Line | 6160 TUTT BLVD STE 220
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-3502
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | CHAD WAGGONER
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Credential | OD
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Telephone | 360-789-0525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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