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General NPI Number Information
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NPI Number | 1396980884
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Entity Type | Organization
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Legal Business Name | BETTS AND DEMOTT EYE CARE & OPTICAL BOUTIQUE
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 8500 HERRING RUN RD
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City | SEAFORD
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State | DE
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Zip | 19973-5795
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Country | US
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Telephone | 302-629-6691
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Fax | 302-629-7963
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Provider Business Mailing Address
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Address Line | 8500 HERRING RUN RD
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City | SEAFORD
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State | DE
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Zip | 19973-5795
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Country | US
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Telephone | 302-629-6691
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Fax | 302-629-7963
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Authorized Official
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Title or Position | OWNER
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Name | DR. PHILLIP DEMOTT
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Credential | OD
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Telephone | 302-629-6691
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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 | I30001197
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License Number State | DE
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