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General NPI Number Information
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NPI Number | 1992784599
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Entity Type | Organization
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Legal Business Name | EVANS EYE CARE INC
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1221 S CREASY LN STE A
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City | LAFAYETTE
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State | IN
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Zip | 47905-7430
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Country | US
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Telephone | 765-447-4951
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 S CREASY LN STE A
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City | LAFAYETTE
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State | IN
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Zip | 47905-7430
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Country | US
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Telephone | 765-447-4951
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | LORETTA K TAYLOR
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Credential | OD
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Telephone | 765-447-4951
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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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