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General NPI Number Information
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NPI Number | 1386565182
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Entity Type | Organization
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Legal Business Name | GRAFTON FAMILY EYE CARE LLC
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 1106 WASHINGTON ST
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City | GRAFTON
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State | WI
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Zip | 53024-1916
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Country | US
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Telephone | 760-791-8730
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Fax | 262-247-0660
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Provider Business Mailing Address
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Address Line | 1106 WASHINGTON ST
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City | GRAFTON
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State | WI
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Zip | 53024-1916
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Country | US
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Telephone | 262-376-1800
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Fax | 262-247-0660
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER A ALVAREZ
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Credential | OD
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Telephone | 920-344-5716
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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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