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General NPI Number Information
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NPI Number | 1396236915
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Entity Type | Organization
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Legal Business Name | ALL EYES VISION CARE LLC
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 1951 CLEMENTS FERRY RD STE 203
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City | CHARLESTON
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State | SC
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Zip | 29492-8325
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Country | US
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Telephone | 330-338-2949
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Fax |
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Provider Business Mailing Address
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Address Line | 1951 CLEMENTS FERRY RD STE 203
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City | CHARLESTON
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State | SC
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Zip | 29492-8325
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Country | US
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Telephone | 843-471-2378
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Fax | 843-492-4806
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JOANNA LYNN CORBIT
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Credential | OD
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Telephone | 843-478-2378
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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 | 1980
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License Number State | SC
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