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General NPI Number Information
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NPI Number | 1891306890
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Entity Type | Organization
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Legal Business Name | OIC INTEGRATIVE OPTOMETRY LLC
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 1679 E MAIN ST
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City | KENT
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State | OH
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Zip | 44240-2875
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Country | US
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Telephone | 330-593-5060
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Fax | 330-294-1880
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Provider Business Mailing Address
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Address Line | 4602 NEW MILFORD RD
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City | ROOTSTOWN
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State | OH
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Zip | 44272-9780
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Country | US
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Telephone | 314-477-7278
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Fax | 330-294-1880
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Authorized Official
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Title or Position | DOCTOR OF OPTOMETRY
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Name | DR. NANCY COZZI
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Credential | OD
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Telephone | 314-477-7278
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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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