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General NPI Number Information
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NPI Number | 1497252381
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Entity Type | Organization
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Legal Business Name | ALL EYES OPTOMETRY PLLC
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 4023 RED ARROW HWY
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-9209
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Country | US
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Telephone | 269-983-3200
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Fax | 269-983-4902
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Provider Business Mailing Address
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Address Line | 4166 GRANDWOOD CIR
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-8717
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Country | US
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Telephone | 574-323-1440
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Fax | 269-983-4902
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Authorized Official
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Title or Position | OWNER
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Name | CLAYTON CASHEN
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Credential | OD
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Telephone | 574-303-7239
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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 | 4901005099
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License Number State | MI
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