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General NPI Number Information
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NPI Number | 1003982414
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Entity Type | Organization
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Legal Business Name | EYE MEDICS OPTOMETRY PA
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 6970 NEXUS CT
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2642
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Country | US
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Telephone | 910-426-3937
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Fax | 888-526-1583
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Provider Business Mailing Address
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Address Line | 6970 NEXUS CT
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2642
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Country | US
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Telephone | 910-426-3937
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Fax | 888-526-1583
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES H SINGLETARY
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Credential | O.D.
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Telephone | 910-426-3937
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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 | 1921
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License Number State | NC
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