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General NPI Number Information
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NPI Number | 1609710276
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Entity Type | Organization
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Legal Business Name | KIDS EYES ERIE LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 128 W 12TH ST STE 301
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City | ERIE
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State | PA
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Zip | 16501-1753
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Country | US
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Telephone | 814-454-6307
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Fax | 814-454-6397
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Provider Business Mailing Address
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Address Line | 128 W 12TH ST STE 301
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City | ERIE
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State | PA
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Zip | 16501-1753
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Country | US
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Telephone | 814-454-6307
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Fax | 814-454-6397
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Authorized Official
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Title or Position | BILLING
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Name | LAURA FLOWERS
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Credential |
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Telephone | 814-454-6307
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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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