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General NPI Number Information
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NPI Number | 1235325788
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Entity Type | Organization
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Legal Business Name | AKER EYE CENTER PA
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 338 S WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32796
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Country | US
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Telephone | 321-269-2021
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Fax | 321-269-2119
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Provider Business Mailing Address
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Address Line | 338 S WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32796
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Country | US
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Telephone | 321-269-2021
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Fax | 321-269-2119
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | AMANDA KYZER MUISE
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Credential |
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Telephone | 321-269-2021
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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 | OPC 2006
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License Number State | FL
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