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General NPI Number Information
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NPI Number | 1306667928
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Entity Type | Organization
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Legal Business Name | LANIER FAMILY EYECARE LLC
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 3480 KEITH BRIDGE RD STE A5
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City | CUMMING
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State | GA
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Zip | 30041-5569
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Country | US
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Telephone | 470-533-2980
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Fax | 470-695-4059
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Provider Business Mailing Address
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Address Line | 3480 KEITH BRIDGE RD STE A5
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City | CUMMING
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State | GA
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Zip | 30041-5569
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Country | US
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Telephone | 470-533-2980
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Fax | 470-695-4059
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOWARD H OIFER
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Credential | OD
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Telephone | 678-468-2355
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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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