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General NPI Number Information
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NPI Number | 1871393355
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Entity Type | Organization
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Legal Business Name | OPTICAL EXPERTS, LLC
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1260 MARS HILL RD STE 103
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City | WATKINSVILLE
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State | GA
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Zip | 30677-4943
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Country | US
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Telephone | 706-705-1613
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Fax | 762-310-0055
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Provider Business Mailing Address
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Address Line | 1260 MARS HILL RD STE 103
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City | WATKINSVILLE
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State | GA
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Zip | 30677-4943
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Country | US
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Telephone | 706-705-1613
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Fax | 762-310-0055
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Authorized Official
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Title or Position | OWNER/LICENSED OPTICIAN
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Name | MRS. KATHRYN BROWN-COTTOM
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Credential | LDO
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Telephone | 706-705-1613
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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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