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General NPI Number Information
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NPI Number | 1134607450
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Entity Type | Organization
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Legal Business Name | EADO OPTICS, PLLC
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 2240 NAVIGATION BLVD STE 275
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City | HOUSTON
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State | TX
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Zip | 77003-1564
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Country | US
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Telephone | 832-275-7751
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Fax |
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Provider Business Mailing Address
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Address Line | 21719 WITTMAN LN
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City | KATY
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State | TX
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Zip | 77450-6022
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Country | US
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Telephone | 832-275-7751
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | MINTRA SATTAM
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Credential | OD
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Telephone | 832-275-7751
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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 | 8230
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License Number State | TX
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