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General NPI Number Information
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NPI Number | 1841156338
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Entity Type | Organization
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Legal Business Name | MARQUETTE EYE AND VISION CENTER, LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 9612 WILLOW LN
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City | MOKENA
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State | IL
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Zip | 60448-9318
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Country | US
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Telephone | 708-479-0000
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Fax | 708-716-4103
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Provider Business Mailing Address
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Address Line | 9612 WILLOW LN
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City | MOKENA
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State | IL
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Zip | 60448-9318
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Country | US
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Telephone | 708-479-0000
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Fax | 708-716-4103
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Authorized Official
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Title or Position | PRESIDENT/OPTOMETRIST
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Name | DR. JEANIE CHRISTINE LUCY
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Credential | OD
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Telephone | 708-479-0000
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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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