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General NPI Number Information
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NPI Number | 1720509227
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Entity Type | Organization
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Legal Business Name | IN FOCUS EYECARE LLC
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 3600 S LOUISE AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57106-6326
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Country | US
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Telephone | 605-362-2970
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 S LOUISE AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57106-6326
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. MEGAN M WOOLERY
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Credential | O.D.
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Telephone | 605-362-2970
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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 | 087897
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License Number State | IA
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