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General NPI Number Information
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NPI Number | 1548989296
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Entity Type | Organization
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Legal Business Name | KIND EYES PLLC
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 777 W DIVERSEY PKWY
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City | CHICAGO
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State | IL
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Zip | 60614-1574
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Country | US
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Telephone | 773-697-8285
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Fax |
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Provider Business Mailing Address
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Address Line | 777 W DIVERSEY PKWY
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City | CHICAGO
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State | IL
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Zip | 60614-1574
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Country | US
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Telephone | 773-697-8285
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. KINJAL BHATT
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Credential | OD
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Telephone | 708-528-0236
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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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