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General NPI Number Information
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NPI Number | 1497973978
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Entity Type | Organization
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Legal Business Name | JEWELL VISION CARE, INC.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 689 LANCASTER BYP E
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City | LANCASTER
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State | SC
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Zip | 29720-4727
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Country | US
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Telephone | 803-283-2020
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Fax | 803-286-0734
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Provider Business Mailing Address
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Address Line | 689 LANCASTER BYP E
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City | LANCASTER
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State | SC
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Zip | 29720-4727
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Country | US
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Telephone | 803-283-2020
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Fax | 803-802-7758
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. VICKIE L JEWELL
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Credential | OD
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Telephone | 803-283-2020
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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 | 1043
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License Number State | SC
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