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General NPI Number Information
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NPI Number | 1528203270
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Entity Type | Organization
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Legal Business Name | EYEQ OPTOMETRY P. C.
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 9302 N MERIDIAN ST SUITE 150
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1873
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Country | US
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Telephone | 317-848-4444
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Fax | 317-848-7976
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Provider Business Mailing Address
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Address Line | 9302 N MERIDIAN ST SUITE 150
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1873
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Country | US
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Telephone | 317-848-4444
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Fax | 317-848-7976
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD LAWRENCE HEMINGWAY
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Credential | O. D.
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Telephone | 317-848-4444
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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 | 18002591B
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License Number State | IN
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