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General NPI Number Information
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NPI Number | 1073402012
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Entity Type | Organization
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Legal Business Name | SPADY EYE CARE
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 8301 N CHURCH RD
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City | KANSAS CITY
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State | MO
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Zip | 64158-1106
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Country | US
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Telephone | 816-792-4754
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Fax |
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Provider Business Mailing Address
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Address Line | 5407 N WYANDOTTE ST
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City | KANSAS CITY
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State | MO
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Zip | 64118-4419
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Country | US
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Telephone | 402-984-8041
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. COLE SPADY
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Credential | OD
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Telephone | 402-984-8041
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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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