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General NPI Number Information
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NPI Number | 1265351357
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Entity Type | Organization
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Legal Business Name | EYE CARE LOUNGE
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 14043 HWY 13 S
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City | SAVAGE
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State | MN
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Zip | 55378-3100
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Country | US
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Telephone | 952-697-2525
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Fax | 952-697-2545
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Provider Business Mailing Address
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Address Line | 14043 HWY 13 S
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City | SAVAGE
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State | MN
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Zip | 55378-3100
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Country | US
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Telephone | 952-697-2525
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Fax | 952-697-2545
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARLON WILSON
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Credential |
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Telephone | 952-697-2525
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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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