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General NPI Number Information
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NPI Number | 1497371306
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Entity Type | Organization
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Legal Business Name | PREMIER EYE CARE, PLLC
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 940 W COMMERCE ST
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City | ABERDEEN
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State | MS
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Zip | 39730-2337
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Country | US
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Telephone | 662-304-5752
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Fax |
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Provider Business Mailing Address
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Address Line | 940 W COMMERCE ST
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City | ABERDEEN
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State | MS
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Zip | 39730-2337
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KRISTELLEN OTT
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Credential | A.B.O.C. C.P.O.C
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Telephone | 662-304-5752
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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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