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General NPI Number Information
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NPI Number | 1730051160
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Entity Type | Organization
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Legal Business Name | ONEOPTO IL 2 PLLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 525 W TOWN CENTER BLVD
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City | CHAMPAIGN
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State | IL
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Zip | 61822-1248
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Country | US
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Telephone | 217-531-5393
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Fax | 217-531-9980
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Provider Business Mailing Address
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Address Line | 525 W TOWN CENTER BLVD
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City | CHAMPAIGN
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State | IL
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Zip | 61822-1248
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Country | US
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Telephone | 217-531-5393
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Fax | 217-531-9980
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRISCILLA PAPPAS
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Credential |
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Telephone | 217-877-7900
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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 |
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License Number State |
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