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General NPI Number Information
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NPI Number | 1811736036
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Entity Type | Organization
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Legal Business Name | LK VISION INC
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 159 SAMOSET ST STE 6
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City | PLYMOUTH
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State | MA
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Zip | 02360-4815
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Country | US
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Telephone | 508-746-1990
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Fax | 508-746-2093
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Provider Business Mailing Address
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Address Line | 159 SAMOSET ST STE 6
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City | PLYMOUTH
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State | MA
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Zip | 02360-4815
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Country | US
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Telephone | 508-746-1990
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Fax | 508-746-2093
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Authorized Official
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Title or Position | OWNER
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Name | LHAMO KYI
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Credential | OD
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Telephone | 773-554-0541
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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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