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General NPI Number Information
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NPI Number | 1093867376
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Entity Type | Organization
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Legal Business Name | ALLIED EYE ASSOCIATES, PC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 03/30/2008
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Provider Practice Location Address
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Address Line | 2401 S STEMMONS FWY SUITE 5000
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City | LEWISVILLE
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State | TX
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Zip | 75067-8756
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Country | US
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Telephone | 214-488-2120
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Fax | 972-315-3953
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Provider Business Mailing Address
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Address Line | 4405 GIOVANNI DR
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City | PLANO
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State | TX
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Zip | 75024-3879
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Country | US
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Telephone | 972-335-1395
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Fax | 972-335-1405
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Authorized Official
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Title or Position | OWNER
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Name | GLYN PEARSON
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Credential | OD
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Telephone | 972-335-1395
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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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