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General NPI Number Information
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NPI Number | 1801460928
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Entity Type | Organization
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Legal Business Name | SOLO EYE CARE & EYEWEAR GALLERY, LLC
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 1 E DELAWARE PL
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City | CHICAGO
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State | IL
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Zip | 60611-1449
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Country | US
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Telephone | 312-588-5999
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Fax | 312-588-0599
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Provider Business Mailing Address
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Address Line | 1444 S MICHIGAN AVE
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City | CHICAGO
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State | IL
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Zip | 60605-4827
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Country | US
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Telephone | 312-588-5999
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Fax | 312-588-0599
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Authorized Official
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Title or Position | OWNER / DOCTOR
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Name | ROBERT JOHN STEINMETZ
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Credential | OD
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Telephone | 312-588-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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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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