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General NPI Number Information
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NPI Number | 1346420353
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Entity Type | Organization
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Legal Business Name | AFTER-IMAGE EYECARE PA
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 2601 FOREST RD
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City | SPRING HILL
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State | FL
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Zip | 34606
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Country | US
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Telephone | 352-688-1102
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Fax | 352-688-1103
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Provider Business Mailing Address
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Address Line | 2601 FOREST ROAD
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City | SPRING HILL
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State | FL
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Zip | 34606
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Country | US
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Telephone | 352-688-1102
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Fax | 352-688-1103
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | TODD DAVID NOWELL
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Credential | O.D.
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Telephone | 352-688-1102
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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 | OPC3032
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License Number State | FL
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