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General NPI Number Information
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NPI Number | 1972458867
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Entity Type | Organization
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Legal Business Name | PLANO OPTICAL INC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 4000 IL-173
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City | ZION
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State | IL
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Zip | 60099
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Country | US
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Telephone | 224-789-4254
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Fax | 847-731-9015
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Provider Business Mailing Address
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Address Line | 4000 IL-173
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City | ZION
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State | IL
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Zip | 60099
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Country | US
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Telephone | 224-789-4254
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Fax | 847-731-9015
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Authorized Official
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Title or Position | OWNER
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Name | SUNG Y KIM
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Credential |
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Telephone | 224-789-4254
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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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