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General NPI Number Information
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NPI Number | 1316084858
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Entity Type | Organization
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Legal Business Name | DRS. L.G.WEIMER, D.J.WEIGEL, C.A.LOHMUELLER, OPTOMETRISTS, P.C.
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 223 E WASHINGTON ST
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City | GREENSBURG
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State | IN
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Zip | 47240-1721
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Country | US
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Telephone | 812-663-2480
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Fax |
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Provider Business Mailing Address
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Address Line | 223 E WASHINGTON ST
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City | GREENSBURG
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State | IN
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Zip | 47240-1721
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Country | US
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Telephone | 812-663-2480
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Fax |
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Authorized Official
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Title or Position | SECRETARYTREASURER
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Name | DR. DAVID WEIGEL
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Credential | O.D.
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Telephone | 812-663-2480
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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 | 56000048A
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License Number State | IN
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