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General NPI Number Information
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NPI Number | 1487070710
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Entity Type | Organization
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Legal Business Name | NEWTON EYE CARE PC
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 3720 WILDER RD
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City | BAY CITY
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State | MI
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Zip | 48706-2482
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Country | US
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Telephone | 989-667-9393
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Fax | 989-667-5577
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Provider Business Mailing Address
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Address Line | 3720 WILDER RD
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City | BAY CITY
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State | MI
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Zip | 48706-2482
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Country | US
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Telephone | 989-667-9393
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Fax | 989-667-5577
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. LEE CHRISTOPHER NEWTON
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Credential | O.D.
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Telephone | 989-667-9393
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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 | 4901004072
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License Number State | MI
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