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General NPI Number Information
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NPI Number | 1083415400
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Entity Type | Organization
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Legal Business Name | TN EYE CARE LLC
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 3119 DANIELS RD STE 110
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City | WINTER GARDEN
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State | FL
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Zip | 34787-7012
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Country | US
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Telephone | 407-654-5453
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Fax | 407-554-0201
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Provider Business Mailing Address
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Address Line | 7595 BLUE QUAIL LN
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City | ORLANDO
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State | FL
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Zip | 32835-5808
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Country | US
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Telephone | 504-638-5701
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSEPH NGUYEN
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Credential | O.D.
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Telephone | 504-638-5701
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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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