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General NPI Number Information
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NPI Number | 1386757144
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Entity Type | Individual
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Provider Name | BARBARA BUTLER OD
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 135 FAIRGROUNDS PARKWAY WAL-MART VISION CENTER
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City | ITHACA
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State | NY
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Zip | 14850
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Country | US
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Telephone | 607-277-8984
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 834 17 SOUTH ST
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City | DRYDEN
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State | NY
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Zip | 13053-0834
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Country | US
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Telephone | 607-351-4467
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 006754
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License Number State | NY
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