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General NPI Number Information
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NPI Number | 1629354733
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Entity Type | Organization
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Legal Business Name | MYERS EYE ASSOCIATES INC.
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 9691 WATERSTONE BLVD
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City | CINCINNATI
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State | OH
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Zip | 45249-8220
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Country | US
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Telephone | 513-774-9461
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Fax | 513-833-2972
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Provider Business Mailing Address
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Address Line | 10901 WINDHAVEN CT
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City | MONTGOMERY
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State | OH
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Zip | 45242-3113
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Country | US
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Telephone | 513-252-4838
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES G MYERS
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Credential | O.D.
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Telephone | 513-252-4838
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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 | 3559-T573
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License Number State | OH
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