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General NPI Number Information
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NPI Number | 1730970237
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Entity Type | Organization
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Legal Business Name | PAYSON EYE CARE CENTER
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 411 S BEELINE HWY STE A
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City | PAYSON
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State | AZ
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Zip | 85541-4892
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Country | US
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Telephone | 928-474-3556
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Fax | 928-474-3161
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Provider Business Mailing Address
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Address Line | 411 S BEELINE HWY STE A
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City | PAYSON
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State | AZ
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Zip | 85541-4892
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Country | US
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Telephone | 928-474-3556
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Fax | 928-474-3161
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KELSEE STONEBRINK
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Credential |
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Telephone | 928-474-3556
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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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