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General NPI Number Information
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NPI Number | 1093919219
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Entity Type | Organization
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Legal Business Name | EYE SAVE OPTICAL, INC
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 2801 SOUTH COLUMBIA ST
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City | BOGALUSA
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State | LA
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Zip | 70427-7915
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Country | US
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Telephone | 985-735-3937
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Fax | 985-735-9000
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Provider Business Mailing Address
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Address Line | 2801 SOUTH COLUMBIA ST
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City | BOGALUSA
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State | LA
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Zip | 70427-7915
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Country | US
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Telephone | 985-735-3937
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Fax | 985-735-9000
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Authorized Official
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Title or Position | MANAGER ACCOUNTANT
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Name | MS. KRYSTAL N WARNER
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Credential |
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Telephone | 985-735-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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