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General NPI Number Information
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NPI Number | 1831406669
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Entity Type | Organization
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Legal Business Name | AYERS EYE CARE, L.L.C.
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 5027 GREEN BAY RD STE 110
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City | KENOSHA
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State | WI
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Zip | 53144-1771
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Country | US
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Telephone | 262-960-2015
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Fax | 262-925-9252
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Provider Business Mailing Address
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Address Line | 5027 GREEN BAY RD STE 110
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City | KENOSHA
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State | WI
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Zip | 53144-1771
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Country | US
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Telephone | 262-925-9251
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Fax | 262-925-9252
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Authorized Official
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Title or Position | OPTOMETRIST/ OWNER
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Name | DR. JENNIFER L. AYERS
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Credential | O.D.
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Telephone | 262-960-2015
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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 | 3059-035
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License Number State | WI
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