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General NPI Number Information
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NPI Number | 1912379579
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Entity Type | Organization
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Legal Business Name | SCHAEFFER EYE CENTER, INC.
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 10/22/2015
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Provider Practice Location Address
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Address Line | 445 PROVIDENCE MAIN ST. N.W. SUITE 102
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City | HUNTSVILLE
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State | AL
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Zip | 35806
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Country | US
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Telephone | 256-722-5425
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Fax | 256-722-5426
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Provider Business Mailing Address
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Address Line | P.O. BOX 1310 SCHAEFFER EYE CENTER
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City | TRUSSVILLE
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State | AL
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Zip | 35173-1376
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Country | US
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Telephone | 205-824-7171
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Fax | 205-824-7179
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Authorized Official
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Title or Position | OWNER
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Name | JACK L. SCHAEFFER
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Credential | O.D.
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Telephone | 205-979-2020
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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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