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General NPI Number Information
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NPI Number | 1861349763
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Entity Type | Organization
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Legal Business Name | ACCESS OPTICAL, LLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 10338 KENSIL ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-7402
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Country | US
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Telephone | 463-245-9033
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Fax |
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Provider Business Mailing Address
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Address Line | 10338 KENSIL ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46236-7402
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Country | US
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Telephone | 463-245-9033
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Fax |
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Authorized Official
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Title or Position | OPTICIAN & OWNER
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Name | CHRISTOPHER PENNINGTON
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Credential |
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Telephone | 463-245-9033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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