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General NPI Number Information
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NPI Number | 1679352306
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Entity Type | Organization
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Legal Business Name | MOBILEYES OPTOMETRY INC
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 218 LOWER MOUNTAIN VIEW DR STE 2
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City | COLCHESTER
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State | VT
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Zip | 05446-8111
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Country | US
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Telephone | 802-654-7599
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Fax | 802-654-7592
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Provider Business Mailing Address
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Address Line | 117 HIGHBRIDGE RD
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City | FAIRFAX
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State | VT
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Zip | 05454-9717
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Country | US
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Telephone | 802-777-2015
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Fax | 802-654-7592
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHAD KAY FELLOWS
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Credential | OD
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Telephone | 802-654-7599
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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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