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General NPI Number Information
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NPI Number | 1487530556
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Entity Type | Organization
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Legal Business Name | MADISON FAMILY EYECARE S C
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 2600 STATE ROAD 138
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City | STOUGHTON
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State | WI
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Zip | 53589-3701
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Country | US
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Telephone | 608-608-8660
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Fax | 207-503-9985
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Provider Business Mailing Address
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Address Line | 790 N MILWAUKEE ST STE 302
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City | MILWAUKEE
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State | WI
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Zip | 53202-4073
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Country | US
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Telephone | 608-608-8660
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Fax | 207-503-9985
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARJINDER SINGH GILL
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Credential | OD
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Telephone | 817-757-9271
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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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