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General NPI Number Information
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NPI Number | 1891342457
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Entity Type | Organization
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Legal Business Name | LEOMINSTER FAMILY EYECARE PLLC
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 23 MILL ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-3202
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Country | US
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Telephone | 978-537-5546
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Fax |
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Provider Business Mailing Address
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Address Line | 272 PROSPECT ST
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City | SHREWSBURY
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State | MA
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Zip | 01545-1645
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Country | US
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Telephone | 774-249-0148
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. KEVIN QUANG
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Credential | OD
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Telephone | 774-249-0148
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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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