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General NPI Number Information
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NPI Number | 1396681706
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Entity Type | Organization
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Legal Business Name | EYEGLASS WEARHOUSE1 LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 5711 MANGO LN
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City | HILLIARD
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State | OH
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Zip | 43026-7657
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Country | US
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Telephone | 614-795-6558
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Fax |
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Provider Business Mailing Address
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Address Line | 5711 MANGO LN
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City | HILLIARD
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State | OH
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Zip | 43026-7657
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Country | US
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Telephone | 614-795-6558
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ELTJON SADIKU
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Credential | LDO
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Telephone | 614-795-6558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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