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General NPI Number Information
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NPI Number | 1710063540
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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 | 10/27/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3155 CANFIELD RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-2880
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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 P 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 | 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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