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General NPI Number Information
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NPI Number | 1841432010
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Entity Type | Organization
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Legal Business Name | A & P OPTICAL, INC.
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 04/15/2015
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Provider Practice Location Address
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Address Line | 335 N MILWAUKEE AVE
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City | VERNON HILLS
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State | IL
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Zip | 60061-1561
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Country | US
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Telephone | 847-955-9280
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Fax | 847-955-9282
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Provider Business Mailing Address
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Address Line | 5248 TORREY PINE CIR
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City | LONG GROVE
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State | IL
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Zip | 60047-5219
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Country | US
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Telephone | 847-521-0771
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Fax | 847-634-0598
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER JAY EPSTEIN
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Credential | OD
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Telephone | 847-521-0771
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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 | 046-006615
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License Number State | IL
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