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General NPI Number Information
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NPI Number | 1033211024
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Entity Type | Individual
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Provider Name | JAMES C LEWIS O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 515 W COURT ST
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City | PASCO
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State | WA
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Zip | 99301-3737
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Country | US
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Telephone | 509-547-2204
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Fax | 509-542-8836
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Provider Business Mailing Address
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Address Line | PO BOX 1452
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City | PASCO
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State | WA
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Zip | 99301-1223
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Country | US
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Telephone | 509-543-1920
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Fax | 509-542-8836
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1458
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License Number State | AZ
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