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General NPI Number Information
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NPI Number | 1194085605
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Entity Type | Organization
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Legal Business Name | CONTACT LENSES FOR LESS INC
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 2000 S UNIVERSITY AVE SUITE E
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City | LITTLE ROCK
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State | AR
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Zip | 72204-3600
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Country | US
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Telephone | 501-280-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 S UNIVERSITY AVE SUITE E
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City | LITTLE ROCK
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State | AR
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Zip | 72204-3600
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Country | US
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Telephone | 501-280-9400
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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. WILBER TIM NORTON
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Credential | O.D.,
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Telephone | 501-280-9400
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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 | AR2266
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License Number State | AR
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