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General NPI Number Information
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NPI Number | 1134081797
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Entity Type | Organization
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Legal Business Name | APEX VISION GROUP PLLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 3650 BOSTON RD STE 184
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City | LEXINGTON
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State | KY
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Zip | 40514-1502
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Country | US
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Telephone | 859-296-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 MEETING ST APT 12208
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City | LEXINGTON
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State | KY
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Zip | 40509-4662
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Country | US
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Telephone |
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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. DANIEL J KENNER
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Credential | OD
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Telephone | 734-807-1950
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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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