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General NPI Number Information
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NPI Number | 1184562654
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Entity Type | Organization
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Legal Business Name | HEARTLAND EYECARE PLLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 1831 E CAMELBACK RD
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City | PHOENIX
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State | AZ
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Zip | 85016-4162
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Country | US
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Telephone | 480-627-8689
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Fax |
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Provider Business Mailing Address
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Address Line | 6011 SUNSET DR
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City | GUYMON
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State | OK
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Zip | 73942-5803
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Country | US
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Telephone | 580-651-7883
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. CLAYTON TYLER BOYD
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Credential | OD
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Telephone | 580-651-7883
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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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