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General NPI Number Information
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NPI Number | 1477564235
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Entity Type | Organization
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Legal Business Name | EYES, P.A.
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 82 WATER STREET
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City | ELLSWORTH
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State | ME
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Zip | 04605
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Country | US
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Telephone | 207-667-8615
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Fax | 207-667-4212
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Provider Business Mailing Address
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Address Line | 82 WATER ST
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City | ELLSWORTH
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State | ME
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Zip | 04605-2006
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Country | US
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Telephone | 207-667-8615
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Fax | 207-667-4212
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BENJAMIN KENT
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Credential |
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Telephone | 207-667-8615
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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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