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General NPI Number Information
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NPI Number | 1073744017
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Entity Type | Organization
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Legal Business Name | DR. MIKE LOCKHART, JR. & ASSOCIATES, INC.
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 915 LINCOLN WAY E
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City | MASSILLON
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State | OH
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Zip | 44646-6833
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Country | US
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Telephone | 330-833-1091
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Fax | 330-833-1092
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Provider Business Mailing Address
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Address Line | 1151 MELSCHEIMER RD SW
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City | EAST SPARTA
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State | OH
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Zip | 44626-9752
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Country | US
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Telephone | 330-833-1091
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Fax | 330-833-1092
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Authorized Official
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Title or Position | OPTOMETRIST OWNER
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Name | MICHAEL LOCKHART JR.
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Credential | O.D.
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Telephone | 330-833-1091
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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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