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General NPI Number Information
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NPI Number | 1235670761
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Entity Type | Organization
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Legal Business Name | SCHAEFFER EYE CENTER, INC.
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Dates
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Enumeration Date | 03/16/2017
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 5510 U.S. HWY 280 SUITE 213
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City | BIRMINGHAM
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State | AL
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Zip | 35242
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Country | US
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Telephone | 205-824-7157
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Fax |
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Provider Business Mailing Address
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Address Line | 3428 OLD COLUMBIANA RD ATTN: CREDENTIALING DEPT.
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City | BIRMINGHAM
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State | AL
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Zip | 35226
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Country | US
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Telephone | 205-824-7171
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Fax | 205-824-7179
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Authorized Official
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Title or Position | OWNER
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Name | JACK L. SCHAEFFER
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Credential | O.D.
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Telephone | 205-824-7171
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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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