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General NPI Number Information
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NPI Number | 1649502394
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Entity Type | Organization
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Legal Business Name | S.J.R. EYE CARE LLC
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Dates
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Enumeration Date | 02/05/2010
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 5700 FAIRLAWN SHORES TRL SE
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City | PRIOR LAKE
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State | MN
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Zip | 55372-1969
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Country | US
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Telephone | 612-578-5675
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 FAIRLAWN SHORES TRL SE
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City | PRIOR LAKE
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State | MN
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Zip | 55372-1969
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Country | US
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Telephone | 612-578-5675
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST, PRESIDENT
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Name | DR. STEVEN EVERETT REINDERS
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Credential | O.D.
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Telephone | 612-578-5675
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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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