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General NPI Number Information
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NPI Number | 1548902760
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Entity Type | Organization
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Legal Business Name | GOOD ISIGHT OPTOMETRY AND VISION THERAPY
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 19539 HESS RD UNIT 102
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City | PARKER
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State | CO
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Zip | 80134-3890
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Country | US
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Telephone | 720-853-2022
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Fax | 720-853-2022
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Provider Business Mailing Address
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Address Line | 19539 HESS RD UNIT 102
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City | PARKER
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State | CO
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Zip | 80134-3890
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Country | US
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Telephone | 720-853-2022
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Fax | 720-853-2022
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Authorized Official
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Title or Position | OPTOMETRIST/ OWNER
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Name | DR. KALYNN GOOD
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Credential | O.D.
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Telephone | 720-853-2022
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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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