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General NPI Number Information
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NPI Number | 1154284610
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Entity Type | Organization
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Legal Business Name | 211 EYE CARE PLLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 15489 CULEBRA RD STE 307
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City | SAN ANTONIO
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State | TX
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Zip | 78253
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Country | US
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Telephone | 210-701-8303
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Fax |
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Provider Business Mailing Address
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Address Line | 14244 POTRANCO RD STE 450
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City | SAN ANTONIO
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State | TX
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Zip | 78253-2145
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER NGUYEN
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Credential | O.D.
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Telephone | 832-640-9780
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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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