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General NPI Number Information
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NPI Number | 1891931333
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Entity Type | Organization
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Legal Business Name | PRECISION EYECARE
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Dates
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Enumeration Date | 01/06/2009
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 7402 HIGHWAY 69 S SUITE I
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City | TUSCALOOSA
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State | AL
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Zip | 35405-1300
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Country | US
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Telephone | 205-752-0320
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Fax | 205-752-0993
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Provider Business Mailing Address
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Address Line | 7402 HIGHWAY 69 S SUITE I
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City | TUSCALOOSA
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State | AL
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Zip | 35405-1300
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Country | US
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Telephone | 205-752-0320
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Fax | 205-752-0993
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. GRETCHEN LUISA LANGKAWEL
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Credential | O.D.
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Telephone | 205-752-0320
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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 | SA95TA668
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License Number State | AL
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