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General NPI Number Information
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NPI Number | 1508095100
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Entity Type | Organization
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Legal Business Name | CAIN EYE CARE, INC
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | 2418 TAYLOR PARK DR.
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City | REYNOLDSBURG
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State | OH
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Zip | 43068
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Country | US
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Telephone | 614-866-2022
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Fax | 614-866-2024
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Provider Business Mailing Address
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Address Line | 2418 TAYLOR PARK DR.
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City | REYNOLDSBURG
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State | OH
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Zip | 43068
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Country | US
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Telephone | 614-866-2022
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Fax | 614-866-2024
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN LEE CAIN
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Credential | O.D.
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Telephone | 614-577-9033
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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 | 5199
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License Number State | OH
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