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General NPI Number Information
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NPI Number | 1891985347
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Entity Type | Organization
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Legal Business Name | THE EYE PLACE INC.
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 1130 WASHINGTON ST
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City | COLUMBUS
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State | IN
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Zip | 47201-5720
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Country | US
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Telephone | 812-379-9893
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Fax | 812-379-9904
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Provider Business Mailing Address
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Address Line | 2665 FOXPOINTE DRIVE
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City | COLUMBUS
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State | IN
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Zip | 47203
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Country | US
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Telephone | 812-379-9893
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Fax | 812-379-9904
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. MELISSA SUE ALMARALES
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Credential | OPTOMETRIST (OD)
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Telephone | 812-379-9893
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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 | 18001592B
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18003363B
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License Number State | IN
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