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General NPI Number Information
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NPI Number | 1750461836
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Entity Type | Organization
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Legal Business Name | EYE CARE ASSOCIATES
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 67 WATERBURY ROAD
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City | PROSPECT
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State | CT
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Zip | 06712
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Country | US
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Telephone | 203-758-6644
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Fax | 203-758-0429
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Provider Business Mailing Address
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Address Line | PO BOX 7035 67 WATERBURY ROAD
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City | PROSPECT
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State | CT
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Zip | 06712
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Country | US
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Telephone | 203-758-6644
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Fax | 203-758-0429
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAWRENCE N KLINE
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Credential | OD
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Telephone | 203-758-6644
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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 | CT
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