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General NPI Number Information
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NPI Number | 1487099545
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Entity Type | Organization
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Legal Business Name | HUEBENER EYE CARE INC
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | EYEDEAL OPTICAL 2644 PENNSYLVANIA AVENUE
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City | DUBUQUE
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State | IA
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Zip | 52001
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Country | US
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Telephone | 319-557-0995
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Fax |
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Provider Business Mailing Address
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Address Line | 24 KOSER AVE
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City | IOWA CITY
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State | IA
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Zip | 52246-1916
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Country | US
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Telephone | 319-337-4268
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Fax | 319-752-2589
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DR. WAYNE STEVEN HUEBENER
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Credential | O.D.
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Telephone | 319-337-4268
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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 | 01895
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License Number State | IA
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