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General NPI Number Information
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NPI Number | 1629918255
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Entity Type | Organization
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Legal Business Name | K&K OPTIQUE, LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 1153 MALABAR RD NE STE 14
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City | PALM BAY
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State | FL
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Zip | 32907-3264
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Country | US
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Telephone | 321-327-3969
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Fax |
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Provider Business Mailing Address
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Address Line | 870 N MIRAMAR AVE # 334
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City | INDIALANTIC
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State | FL
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Zip | 32903-3054
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MGR/LICENSED OPTICIAN
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Name | CARMARIE KHARAZI
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Credential | ABOC, NCLEC
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Telephone | 321-729-4340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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