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General NPI Number Information
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NPI Number | 1083406490
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Entity Type | Organization
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Legal Business Name | DOWNEY EYE CLINIC, PLLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 310 STEVE DR STE 1
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-4599
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Country | US
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Telephone | 270-866-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 1463 CAMPBELLSVILLE RD
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City | COLUMBIA
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State | KY
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Zip | 42728-2263
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Country | US
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Telephone | 270-384-6043
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Fax |
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Authorized Official
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Title or Position | OWNER / OPTOMETRIST
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Name | JACOB BURTON
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Credential | O.D.
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Telephone | 270-384-6043
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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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