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General NPI Number Information
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NPI Number | 1689545204
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Entity Type | Organization
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Legal Business Name | COLLECTIVE EYECARE LLC
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 5556 SUNSET BLVD
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City | LEXINGTON
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State | SC
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Zip | 29072-7989
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Country | US
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Telephone | 803-265-2744
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24
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City | BALLENTINE
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State | SC
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Zip | 29002-0024
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Country | US
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Telephone | 803-265-2744
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ELISABETH J LAWSON
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Credential | OD
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Telephone | 803-265-2744
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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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