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General NPI Number Information
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NPI Number | 1134180383
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Entity Type | Organization
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Legal Business Name | EYE ASSOCIATES, PA
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 100 COUNTRY CLUB LN
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City | ANDERSON
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State | SC
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Zip | 29625-1717
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Country | US
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Telephone | 864-224-5783
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Fax | 864-226-3228
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Provider Business Mailing Address
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Address Line | PO BOX 5375
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City | ANDERSON
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State | SC
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Zip | 29623-5375
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Country | US
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Telephone | 864-224-5783
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Fax | 864-226-3228
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Authorized Official
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Title or Position | OWNER
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Name | VAUGHN DAVID PARFITT
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Credential | O.D.
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Telephone | 864-224-5783
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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 | 11993
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License Number State | SC
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