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General NPI Number Information
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NPI Number | 1063833242
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Entity Type | Organization
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Legal Business Name | GREEN EYE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 12/14/2013
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 201 COLONNADE PKWY
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City | WACO
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State | TX
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Zip | 76712-6174
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Country | US
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Telephone | 254-752-0471
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Fax | 254-237-5401
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Provider Business Mailing Address
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Address Line | 201 COLONNADE PKWY
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City | WOODWAY
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State | TX
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Zip | 76712
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Country | US
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Telephone | 254-752-0471
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Fax | 254-237-5401
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Authorized Official
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Title or Position | OWNER, OPTOMETRIST
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Name | DR. LEIGH ANNE GREEN
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Credential | O.D.
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Telephone | 254-752-0471
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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 | 5972
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License Number State | TX
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