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General NPI Number Information
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NPI Number | 1093093676
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Entity Type | Organization
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Legal Business Name | MAJESTIC OPTICAL LLC
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Dates
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Enumeration Date | 07/29/2011
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 2000 CRAWFORD ST STE 100
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City | HOUSTON
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State | TX
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Zip | 77002-9090
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Country | US
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Telephone | 713-659-2020
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Fax | 713-759-2020
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Provider Business Mailing Address
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Address Line | 2000 CRAWFORD ST STE 100
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City | HOUSTON
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State | TX
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Zip | 77002-9090
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Country | US
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Telephone | 713-659-2020
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Fax | 713-759-2020
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA EVONNE WILHITE
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Credential |
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Telephone | 713-659-2020
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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 | 136705
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License Number State | TX
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