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General NPI Number Information
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NPI Number | 1861662934
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Entity Type | Organization
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Legal Business Name | RICHARD E. WOJCIK,O.D., P.C.
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 330 SPANGLER RD
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City | ROMEOVILLE
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State | IL
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Zip | 60446-1840
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Country | US
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Telephone | 815-886-0800
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Fax | 815-886-4493
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Provider Business Mailing Address
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Address Line | 330 SPANGLER RD
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City | ROMEOVILLE
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State | IL
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Zip | 60446-1840
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Country | US
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Telephone | 815-886-0800
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Fax | 815-886-4493
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. RICHARD E. WOJCIK
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Credential | O.D.
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Telephone | 815-886-0800
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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 | 046006792
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License Number State | IL
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