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General NPI Number Information
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NPI Number | 1174317689
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Entity Type | Organization
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Legal Business Name | B & E OPTICAL INC.
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 5750 PINELAND DR STE 398
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City | DALLAS
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State | TX
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Zip | 75231-5300
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Country | US
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Telephone | 214-221-0855
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Fax |
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Provider Business Mailing Address
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Address Line | 5750 PINELAND DR STE 398
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City | DALLAS
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State | TX
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Zip | 75231-5300
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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 | PRESIDENT
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Name | ROSHAN THILANKA LOKUGE
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Credential |
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Telephone | 817-353-6167
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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 |
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License Number State |
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