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General NPI Number Information
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NPI Number | 1003008756
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Entity Type | Organization
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Legal Business Name | EYE 20 OPTICAL INC
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 155 SE LOOP 338 SUITE 300
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City | ODESSA
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State | TX
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Zip | 79762-9703
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Country | US
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Telephone | 432-367-5116
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Fax | 432-367-0129
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Provider Business Mailing Address
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Address Line | 155 SE LOOP 338 SUITE 300
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City | ODESSA
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State | TX
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Zip | 79762-9752
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Country | US
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Telephone | 432-367-5116
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Fax | 432-367-0129
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARTIN R SEILER
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Credential |
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Telephone | 432-367-5116
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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 |
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License Number State |
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