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General NPI Number Information
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NPI Number | 1043222888
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Entity Type | Organization
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Legal Business Name | OPTOMETRIC ASSOCIATES OF TEXAS P.A.
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 3811 S COOPER ST STE 2310
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City | ARLINGTON
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State | TX
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Zip | 76015-4148
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Country | US
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Telephone | 817-466-9211
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Fax |
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Provider Business Mailing Address
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Address Line | 1906 ROCKBROOK DR
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City | ARLINGTON
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State | TX
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Zip | 76006-6616
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Country | US
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Telephone | 512-927-6947
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. DANIEL JUEL BRINCHMAN
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Credential |
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Telephone | 512-927-6947
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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 | 2356TG
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License Number State | TX
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