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General NPI Number Information
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NPI Number | 1841085412
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Entity Type | Organization
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Legal Business Name | EYES ON LEMONT PLLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 1060 STATE ST
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City | LEMONT
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State | IL
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Zip | 60439-4257
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Country | US
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Telephone | 708-574-5687
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Fax |
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Provider Business Mailing Address
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Address Line | 9750 CRESCENT PARK CIR UNIT 346
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City | ORLAND PARK
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State | IL
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Zip | 60462-7506
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MEGHAN T WALSH
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Credential | O.D.
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Telephone | 708-574-5687
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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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