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General NPI Number Information
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NPI Number | 1912878042
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Entity Type | Organization
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Legal Business Name | UPTOWN OPTYX
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 5826 FAYETTEVILLE RD STE 104
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City | DURHAM
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State | NC
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Zip | 27713-8684
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Country | US
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Telephone | 919-405-2888
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Fax | 919-405-2889
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Provider Business Mailing Address
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Address Line | 116 MAINLINE STATION DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-6825
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Country | US
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Telephone | 919-605-4621
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTICIAN
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Name | MARY BETH NORRIS
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Credential | NCLDO LIC#1813
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Telephone | 919-210-2567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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