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General NPI Number Information
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NPI Number | 1285835298
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Entity Type | Organization
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Legal Business Name | EYE IMAGES
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2154 LAWNDALE DR
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City | GREENSBORO
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State | NC
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Zip | 27408-7102
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Country | US
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Telephone | 336-379-0428
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Fax |
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Provider Business Mailing Address
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Address Line | 2154 LAWNDALE DR
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City | GREENSBORO
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State | NC
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Zip | 27408-7102
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Country | US
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Telephone | 336-379-0428
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID JAMES KNOCHE
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Credential | OPT
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Telephone | 336-379-0428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 392
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License Number State | NC
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