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General NPI Number Information
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NPI Number | 1053056119
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Entity Type | Organization
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Legal Business Name | SPRING FAMILY VISION, PLLC
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 2901 RILEY FUZZEL RD
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City | SPRING
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State | TX
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Zip | 77386-4489
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Country | US
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Telephone | 407-222-5339
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 SPRINGWOODS PLAZA DR APT 232
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City | SPRING
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State | TX
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Zip | 77389-1820
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Country | US
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Telephone | 407-222-5339
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. PAUL DRIGGERS
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Credential | OD
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Telephone | 407-222-5339
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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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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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