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General NPI Number Information
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NPI Number | 1366822363
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Entity Type | Organization
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Legal Business Name | UNION EYES OPTICAL INC
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 229 CHURCHILL HUBBARD RD STE B
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1324
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Country | US
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Telephone | 330-759-7846
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Fax |
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Provider Business Mailing Address
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Address Line | 229 CHURCHILL HUBBARD RD STE B
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1324
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Country | US
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Telephone | 330-759-7846
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATTI REMSEY
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Credential |
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Telephone | 330-759-7846
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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 | 6472
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3166
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | S5193
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4851
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3433
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3257
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License Number State | OH
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