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General NPI Number Information
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NPI Number | 1316693542
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Entity Type | Organization
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Legal Business Name | INSPIRED EYES LLC
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 32 S MAIN ST
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City | MINSTER
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State | OH
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Zip | 45865-1303
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Country | US
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Telephone | 567-603-3172
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Fax |
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Provider Business Mailing Address
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Address Line | 32 S MAIN ST
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City | MINSTER
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State | OH
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Zip | 45865-1303
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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/ OWNER
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Name | DR. AMANDA L. EILERMAN
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Credential | OD
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Telephone | 567-603-3172
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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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