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General NPI Number Information
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NPI Number | 1083803191
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Entity Type | Organization
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Legal Business Name | EYE WORKS, LTD.
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 126 W MAIN ST STE 1
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City | BARRINGTON
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State | IL
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Zip | 60010-3073
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Country | US
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Telephone | 847-381-0391
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Fax | 847-381-1026
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Provider Business Mailing Address
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Address Line | 126 W MAIN ST STE 1
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City | BARRINGTON
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State | IL
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Zip | 60010-3073
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Country | US
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Telephone | 847-381-0391
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Fax | 847-381-1026
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Authorized Official
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Title or Position | OWNER
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Name | DR. RALPH GEBERT
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Credential | O.D.
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Telephone | 847-381-0391
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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 | 046007094
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License Number State | IL
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