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NPI 1922000892

NPI 1922000892 : CLAREMONT OPTOMETRIC EYE CARE CENTER, PLLC : HICKORY, NC

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General NPI Number Information
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    NPI Number           |    1922000892
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLAREMONT OPTOMETRIC EYE CARE CENTER, PLLC 
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Dates
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    Enumeration Date     |    08/11/2005
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    Last Update Date     |    09/05/2023
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Provider Practice Location Address
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    Address Line         |    3038 NC HIGHWAY 127 S 
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    City                 |    HICKORY
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    State                |    NC
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    Zip                  |    28602-5404
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    Country              |    US
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    Telephone            |    828-294-1010
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    Fax                  |    828-294-1013
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Provider Business Mailing Address
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    Address Line         |    3038 NC HIGHWAY 127 S 
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    City                 |    HICKORY
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    State                |    NC
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    Zip                  |    28602-5404
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    Country              |    US
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    Telephone            |    828-294-1010
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    Fax                  |    828-294-1013
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Authorized Official
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    Title or Position    |    OPTOMETRIST
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    Name                 |    DR. J. RICK DAVIS 
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    Credential           |    O.D.
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    Telephone            |    828-294-1010
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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 |    NC
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