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General NPI Number Information
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NPI Number | 1669700514
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Entity Type | Organization
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Legal Business Name | PREMIER EYECARE & EYEWEAR
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 12220 BLUE RIDGE EXT STE J
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City | GRANDVIEW
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State | MO
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Zip | 64030-1175
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Country | US
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Telephone | 816-761-6337
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Fax | 816-761-3564
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Provider Business Mailing Address
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Address Line | 12220 BLUE RIDGE EXT STE J
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City | GRANDVIEW
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State | MO
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Zip | 64030-1175
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Country | US
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Telephone | 816-761-6337
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Fax | 816-761-3564
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Authorized Official
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Title or Position | OWNER,MGR,OD
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Name | CHRIST D DAWSON
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Credential | OD
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Telephone | 816-761-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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