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General NPI Number Information
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NPI Number | 1558533299
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Entity Type | Organization
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Legal Business Name | BRIGHT SIGHT EYECARE INC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 1780 S LAKE DR
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City | LEXINGTON
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State | SC
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Zip | 29073-8102
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Country | US
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Telephone | 803-356-1414
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Fax | 803-356-0515
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Provider Business Mailing Address
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Address Line | 340 SIDDINGTON WAY
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City | LEXINGTON
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State | SC
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Zip | 29073-9722
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Country | US
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Telephone | 803-356-1414
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Fax | 803-356-0515
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID BRYON PRATT
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Credential | O.D.
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Telephone | 803-397-6605
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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 | 1444
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License Number State | SC
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