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General NPI Number Information
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NPI Number | 1023068228
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Entity Type | Organization
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Legal Business Name | ATHENS EYE CARE, LLC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 14 UNIVERSITY ESTATES BLVD SUITE 100
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City | ATHENS
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State | OH
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Zip | 45701-3375
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Country | US
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Telephone | 740-594-2271
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Fax | 740-594-2270
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Provider Business Mailing Address
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Address Line | 14 UNIVERSITY ESTATES BLVD SUITE 100
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City | ATHENS
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State | OH
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Zip | 45701
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Country | US
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Telephone | 740-594-2271
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Fax | 740-594-2270
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. SHANE A FOSTER
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Credential | O.D.
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Telephone | 740-594-2271
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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 | 3628
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License Number State | OH
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Taxonomy #2
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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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