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General NPI Number Information
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NPI Number | 1932322831
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Entity Type | Organization
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Legal Business Name | WEAR EYEWEAR, INC.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 750 N FRANKLIN ST SUITE 106
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City | CHICAGO
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State | IL
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Zip | 60654-6263
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Country | US
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Telephone | 312-255-1212
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Fax | 312-255-1367
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Provider Business Mailing Address
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Address Line | 750 N FRANKLIN ST SUITE 106
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City | CHICAGO
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State | IL
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Zip | 60654-6263
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Country | US
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Telephone | 312-255-1212
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Fax | 312-255-1367
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH WINJUM
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Credential |
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Telephone | 312-255-1212
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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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