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General NPI Number Information
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NPI Number | 1275400079
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Entity Type | Organization
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Legal Business Name | CAPITAL CITY EYE CARE
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 6321 MCKEE RD
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City | FITCHBURG
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State | WI
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Zip | 53719-5017
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Country | US
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Telephone | 608-274-6747
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Fax |
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Provider Business Mailing Address
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Address Line | 418 TOEPFER AVE
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City | MADISON
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State | WI
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Zip | 53711-1631
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. WILLIAM RATLIFF
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Credential | OD
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Telephone | 501-581-8656
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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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