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General NPI Number Information
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NPI Number | 1720203938
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Entity Type | Organization
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Legal Business Name | OMNI EYE ASSOCIATES, PA
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 02/18/2011
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Provider Practice Location Address
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Address Line | 3131 N. MAIN STREET
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City | ANDERSON
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State | SC
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Zip | 29621-2764
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Country | US
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Telephone | 864-525-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 N MAIN ST
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City | ANDERSON
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State | SC
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Zip | 29621-2764
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Country | US
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Telephone | 864-332-8062
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Fax | 864-332-8083
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH EDWIN HOPKINS
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Credential | OD
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Telephone | 864-525-9999
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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 | 1170
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License Number State | SC
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