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General NPI Number Information
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NPI Number | 1699175489
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Entity Type | Organization
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Legal Business Name | EYE CARE ASSOCIATES, INC
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4060 N RIVER RD
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City | WARREN
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State | OH
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Zip | 44484-2426
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Country | US
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Telephone | 330-746-7691
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Fax | 330-743-8368
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Provider Business Mailing Address
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Address Line | 10 DUTTON DR
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City | YOUNGSTOWN
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State | OH
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Zip | 44502-1818
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Country | US
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Telephone | 330-746-7691
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Fax | 330-743-8368
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. JOHN PATRICK AEY
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Credential | MD
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Telephone | 330-746-7691
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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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