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General NPI Number Information
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NPI Number | 1508868399
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Entity Type | Organization
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Legal Business Name | PRESCRIPTION EYEWEAR INC.
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 2752 ZELDA RD
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City | MONTGOMERY
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State | AL
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Zip | 36106-2694
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Country | US
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Telephone | 334-271-4664
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Fax | 334-271-4687
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Provider Business Mailing Address
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Address Line | 2752 ZELDA RD
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City | MONTGOMERY
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State | AL
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Zip | 36106-2694
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Country | US
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Telephone | 334-271-4664
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Fax | 334-271-4687
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Authorized Official
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Title or Position | VP
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Name | CANDICE DAVIS
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Credential |
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Telephone | 916-990-7590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | N/A
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License Number State | AL
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