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General NPI Number Information
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NPI Number | 1144362559
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Entity Type | Organization
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Legal Business Name | EYE MAX PLLC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 4051 NICHOLASVILLE RD
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City | LEXINGTON
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State | KY
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Zip | 40503
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Country | US
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Telephone | 859-272-1422
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Fax | 859-273-4582
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Provider Business Mailing Address
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Address Line | 4051 NICHOLASVILLE RD
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City | LEXINGTON
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State | KY
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Zip | 40503
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Country | US
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Telephone | 859-272-1422
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Fax | 859-273-4582
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Authorized Official
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Title or Position | OWNER
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Name | DR. KARI CARPENTER MATTSON
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Credential | OD
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Telephone | 859-272-1422
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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 | 1455DT
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License Number State | KY
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