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General NPI Number Information
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NPI Number | 1427415611
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Entity Type | Organization
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Legal Business Name | MORRIS EYECARE ASSOCIATES INC
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 425 E US ROUTE 6 SUITE B
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City | MORRIS
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State | IL
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Zip | 60450-9042
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Country | US
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Telephone | 630-947-6276
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Fax |
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Provider Business Mailing Address
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Address Line | 425 E US ROUTE 6 SUITE B
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City | MORRIS
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State | IL
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Zip | 60450-9042
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OD/OWNER
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Name | MANMEET CHATHA
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Credential |
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Telephone | 630-947-6276
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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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