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General NPI Number Information
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NPI Number | 1982739066
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Entity Type | Organization
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Legal Business Name | EYECARE ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 7105 BAILEY CREEK CIR SE
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City | HUNTSVILLE
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State | AL
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Zip | 35802-2797
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Country | US
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Telephone | 636-200-4393
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Fax | 256-883-1991
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Provider Business Mailing Address
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Address Line | PO BOX 207243
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City | DALLAS
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State | TX
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Zip | 75320-7255
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Country | US
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Telephone | 636-200-4393
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Fax | 636-527-0766
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Authorized Official
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Title or Position | CMO
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Name | JAMES WACHTER
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Credential | OD
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Telephone | 636-200-4393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | SA19TA609
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License Number State | AL
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