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General NPI Number Information
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NPI Number | 1225743289
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Entity Type | Organization
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Legal Business Name | EYE DR NOW, LLC
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 42 CARTER AVE
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City | ROME
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State | GA
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Zip | 30165
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Country | US
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Telephone | 706-383-8510
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Fax | 706-412-5179
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Provider Business Mailing Address
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Address Line | 42 CARTER AVE
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City | ROME
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State | GA
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Zip | 30165
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Country | US
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Telephone | 706-383-8510
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Fax |
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Authorized Official
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Title or Position | LICENSED DISPENSING OPTICIAN
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Name | JANICE ABERNATHY
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Credential | LDO
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Telephone | 706-383-8510
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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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Taxonomy #2
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Taxonomy Code | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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