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General NPI Number Information
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NPI Number | 1235099599
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Entity Type | Organization
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Legal Business Name | MRM EYECARE LLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 870 INMAN VILLAGE PKWY NE STE 3
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City | ATLANTA
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State | GA
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Zip | 30307-5523
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Country | US
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Telephone | 404-589-0822
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Fax |
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Provider Business Mailing Address
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Address Line | 3070 BRIARCLIFF RD NE APT 2415
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City | ATLANTA
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State | GA
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Zip | 30329-2796
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Country | US
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Telephone | 501-773-8038
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | MARIO MARTINEZ
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Credential | OD
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Telephone | 501-773-8038
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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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