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General NPI Number Information
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NPI Number | 1245528090
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Entity Type | Organization
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Legal Business Name | MERCER IN-SIGHT LLC
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 706 E WAYNE ST
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City | CELINA
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State | OH
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Zip | 45822-1380
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Country | US
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Telephone | 419-586-2909
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Fax | 419-586-8127
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Provider Business Mailing Address
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Address Line | PO BOX 629
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City | CELINA
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State | OH
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Zip | 45822-0629
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Country | US
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Telephone | 419-586-2909
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Fax | 419-586-8127
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHAD ALBERT OTTE
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Credential | OD
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Telephone | 419-586-2909
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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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