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General NPI Number Information
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NPI Number | 1205708179
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Entity Type | Organization
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Legal Business Name | THOMPSON EYECARE
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Dates
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Enumeration Date | 09/20/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 607 S COMMERCIAL ST STE 1
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City | HARRISBURG
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State | IL
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Zip | 62946-2349
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Country | US
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Telephone | 618-926-2285
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Fax |
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Provider Business Mailing Address
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Address Line | 1026 S JACKSON ST
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City | HARRISBURG
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State | IL
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Zip | 62946-2819
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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 | SYKES THOMPSON
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Credential | OD
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Telephone | 618-217-1201
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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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