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General NPI Number Information
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NPI Number | 1861827578
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Entity Type | Organization
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Legal Business Name | EYES ALL OVER INC.
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 506 7TH ST W
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City | SAINT PAUL
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State | MN
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Zip | 55102-3006
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Country | US
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Telephone | 651-333-4420
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Fax | 651-204-0966
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Provider Business Mailing Address
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Address Line | 506 7TH ST W
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City | SAINT PAUL
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State | MN
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Zip | 55102-3006
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Country | US
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Telephone | 651-333-4420
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Fax | 651-204-0966
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Authorized Official
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Title or Position | OWNER/OPTICIAN
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Name | TERI R FOCHT
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Credential | ABOC
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Telephone | 651-333-4420
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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 | MN
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Taxonomy #2
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number |
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License Number State |
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