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General NPI Number Information
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NPI Number | 1568692440
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Entity Type | Organization
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Legal Business Name | MCNEELY EYE ASSOCIATES, P.A.
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Dates
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Enumeration Date | 07/25/2009
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Last Update Date | 07/25/2009
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Provider Practice Location Address
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Address Line | 1021 WOODRUFF RD
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City | GREENVILLE
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State | SC
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Zip | 29607-4108
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Country | US
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Telephone | 864-297-2573
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Fax |
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Provider Business Mailing Address
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Address Line | 825 GENTRY MEMORIAL HWY
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City | EASLEY
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State | SC
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Zip | 29640-1171
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Country | US
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Telephone | 864-630-5466
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. JAMES BENJAMIN MCNEELY
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Credential | O.D.
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Telephone | 864-297-2573
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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 | 1482
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License Number State | SC
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