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General NPI Number Information
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NPI Number | 1154293165
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Entity Type | Organization
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Legal Business Name | KORI WATKINS, OD
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 792 S US 1
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City | VERO BEACH
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State | FL
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Zip | 32962-4701
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Country | US
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Telephone | 772-770-2020
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Fax | 772-770-4617
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Provider Business Mailing Address
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Address Line | 792 S US 1
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City | VERO BEACH
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State | FL
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Zip | 32962-4701
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Country | US
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Telephone | 772-770-2020
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Fax | 772-770-4617
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Authorized Official
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Title or Position | SOLE OWNER
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Name | KORI WATKINS
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Credential | OD
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Telephone | 321-503-4624
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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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