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General NPI Number Information
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NPI Number | 1124947403
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Entity Type | Organization
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Legal Business Name | UNIQUELY YOU EYEWEAR & EYECARE BOUTIQUE, PLLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 140 JORDAN CREEK PKWY STE 160
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City | WEST DES MOINES
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State | IA
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Zip | 50266-8485
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Country | US
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Telephone | 641-451-5021
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 RIDGE RD
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City | DES MOINES
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State | IA
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Zip | 50312-4418
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Country | US
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Telephone | 641-451-5021
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KREG D HARPER
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Credential | OD
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Telephone | 641-451-5021
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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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