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General NPI Number Information
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NPI Number | 1669483673
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Entity Type | Organization
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Legal Business Name | UNIVERSITY EYE SPECIALISTS, PC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 06/26/2017
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Provider Practice Location Address
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Address Line | 500 MCFARLAND ST STE A
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City | MORRISTOWN
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State | TN
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Zip | 37814-3992
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Country | US
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Telephone | 423-581-2760
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Fax | 423-586-4686
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Provider Business Mailing Address
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Address Line | 1928 ALCOA HWY STE 324
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City | KNOXVILLE
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State | TN
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Zip | 37920-1505
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Country | US
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Telephone | 865-524-9871
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILL PITT
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Credential |
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Telephone | 865-244-1989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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