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General NPI Number Information
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NPI Number | 1861543571
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Entity Type | Organization
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Legal Business Name | TIPP EYE CENTER INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 115 S TIPPECANOE DR
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City | TIPP CITY
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State | OH
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Zip | 45371-1194
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Country | US
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Telephone | 937-667-1270
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Fax | 937-667-7198
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Provider Business Mailing Address
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Address Line | 115 S TIPPECANOE DR
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City | TIPP CITY
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State | OH
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Zip | 45371-1194
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Country | US
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Telephone | 937-667-1270
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Fax | 937-667-7198
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. JAMES R RANFT
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Credential | O.D.
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Telephone | 937-667-1270
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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 | 4140
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3282
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License Number State | OH
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