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General NPI Number Information
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NPI Number | 1649831785
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Entity Type | Organization
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Legal Business Name | SMALL TOWN EYECARE PARTNERS, LLC
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 921 MOORES FERRY RD STE C
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City | VILLA RICA
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State | GA
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Zip | 30180-9706
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Country | US
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Telephone | 770-830-3212
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Fax |
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Provider Business Mailing Address
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Address Line | 921 MOORES FERRY RD STE C
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City | VILLA RICA
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State | GA
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Zip | 30180-9706
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Country | US
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Telephone | 678-460-0498
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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. MEHRDAD E. SAADAT
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Credential | O.D.
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Telephone | 770-310-1198
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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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