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General NPI Number Information
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NPI Number | 1689849549
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Entity Type | Organization
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Legal Business Name | COLUMBUS EYEWORKS LLC
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 25 W HUBBARD AVE
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City | COLUMBUS
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State | OH
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Zip | 43215-1410
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Country | US
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Telephone | 614-421-2020
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Fax | 614-421-9115
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Provider Business Mailing Address
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Address Line | 1127 N HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43201-2441
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Country | US
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Telephone | 614-421-2020
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Fax | 614-421-9115
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Authorized Official
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Title or Position | PRESIDENT
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Name | KURT BENNETT
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Credential | OD
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Telephone | 614-421-2020
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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 | 3759/T520
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License Number State | OH
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