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General NPI Number Information
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NPI Number | 1477452258
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Entity Type | Organization
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Legal Business Name | ISLAND EYEWEAR AND CONTACT LENSES LLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 6268 W SAMPLE RD STE 406
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-3272
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Country | US
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Telephone | 954-344-9701
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Fax | 954-448-7021
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Provider Business Mailing Address
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Address Line | 13506 SUMMERPORT VILLAGE PKWY # 254
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City | WINDERMERE
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State | FL
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Zip | 34786-7366
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Country | US
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Telephone | 954-297-6940
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Fax | 954-448-7021
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Authorized Official
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Title or Position | PRESIDENT
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Name | NOEL HENRY
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Credential | OD
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Telephone | 954-288-3032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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