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General NPI Number Information
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NPI Number | 1295518900
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Entity Type | Organization
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Legal Business Name | AMBER EYES OPTOMETRIC LLC
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 11/10/2024
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Provider Practice Location Address
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Address Line | 6118 SE FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34997-8105
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Country | US
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Telephone | 561-339-5551
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Fax |
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Provider Business Mailing Address
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Address Line | 4095 SE WESTFIELD ST
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City | STUART
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State | FL
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Zip | 34997-6810
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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 | AMBER PEARCE
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Credential | OD
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Telephone | 561-339-5551
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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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