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General NPI Number Information
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NPI Number | 1871475038
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Entity Type | Organization
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Legal Business Name | EYECARE ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 8436 VAUGHN RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-8862
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Country | US
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Telephone | 334-271-3900
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Fax | 334-271-3915
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Provider Business Mailing Address
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Address Line | 15933 CLAYTON RD STE 210
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City | BALLWIN
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State | MO
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Zip | 63011-2172
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Country | US
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Telephone | 636-200-4393
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Fax | 636-200-4393
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Authorized Official
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Title or Position | CMO
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Name | JAMES WACHTER
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Credential |
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Telephone | 636-200-4393
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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 |
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