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General NPI Number Information
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NPI Number | 1447259510
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Entity Type | Organization
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Legal Business Name | JOHN KENYON AMERICAN EYE INSTITUTE LLC
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 519 STATE ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-3620
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Country | US
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Telephone | 812-948-0616
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Fax | 812-949-3446
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Provider Business Mailing Address
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Address Line | 519 STATE ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-3620
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Country | US
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Telephone | 812-948-0616
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Fax | 812-949-3447
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | JOSEPH P. GIRA
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Credential | MD
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Telephone | 812-258-3048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State | IN
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Taxonomy #3
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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 | IN
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | IN
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