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General NPI Number Information
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NPI Number | 1902777998
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Entity Type | Organization
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Legal Business Name | EVERGREEN EYECARE
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 3060 FRANKLIN TER
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City | JOHNSON CITY
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State | TN
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Zip | 37604-4123
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Country | US
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Telephone | 423-282-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 6044 WILDLIFE CIR
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City | PINEY FLATS
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State | TN
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Zip | 37686-2939
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DARREN MORCHESKY
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Credential | OD
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Telephone | 814-515-5699
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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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