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General NPI Number Information
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NPI Number | 1669384020
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Entity Type | Organization
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Legal Business Name | EAST KENTUCKY EYECARE PLLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 4169 N MAYO TRL
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City | PIKEVILLE
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State | KY
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Zip | 41501-3211
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Country | US
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Telephone | 606-432-5800
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Fax | 606-437-2307
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Provider Business Mailing Address
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Address Line | 4169 N MAYO TRL
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City | PIKEVILLE
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State | KY
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Zip | 41501-3211
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Country | US
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Telephone | 606-432-5800
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Fax | 606-437-2307
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | DR. ZACHARY THOMAS WALTERS
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Credential | OD
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Telephone | 606-432-5800
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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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