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General NPI Number Information
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NPI Number | 1982568192
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Entity Type | Organization
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Legal Business Name | WILKINS EYECARE LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 2021 MAPLEWOOD COMMONS DR
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City | MAPLEWOOD
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State | MO
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Zip | 63143-1003
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Country | US
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Telephone | 314-860-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 402 LYNWOOD FOREST DR
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City | MANCHESTER
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State | MO
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Zip | 63021-5511
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. MARK WILKINS
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Credential | OD
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Telephone | 314-591-7887
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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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