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General NPI Number Information
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NPI Number | 1831173145
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Entity Type | Organization
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Legal Business Name | FERGUSON OPTICAL INC
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 7025 HOWDERSHELL RD STE H
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City | HAZELWOOD
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State | MO
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Zip | 63042-3811
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Country | US
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Telephone | 314-731-1117
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Fax | 314-731-7122
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Provider Business Mailing Address
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Address Line | 7025 HOWDERSHELL RD STE H
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City | HAZELWOOD
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State | MO
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Zip | 63042-3811
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Country | US
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Telephone | 314-731-1117
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Fax | 314-731-7122
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Authorized Official
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Title or Position | CORPORATE OFFICER
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Name | MRS. KRISTIN E LITTLE
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Credential | OPTICIAN
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Telephone | 314-731-1117
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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Taxonomy #3
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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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