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General NPI Number Information
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NPI Number | 1740350842
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Entity Type | Organization
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Legal Business Name | EYECARE PROFESSIONALS, P.C.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 15255 HIGHWAY 43 SUITE 1
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-1924
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Country | US
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Telephone | 256-332-5440
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Fax | 256-332-5402
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Provider Business Mailing Address
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Address Line | PO BOX 1177 15255 HWY 43 NORTH, SUITE 1
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-1177
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Country | US
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Telephone | 256-332-5440
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Fax | 256-332-5402
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARTHA R GREENBERG
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Credential | O.D.
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Telephone | 256-332-5440
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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 | AL
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