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General NPI Number Information
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NPI Number | 1275068751
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Entity Type | Organization
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Legal Business Name | MONOCLE PREMIER EYE CARE PLLC
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Dates
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Enumeration Date | 04/21/2017
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 4061 BELLAIRE BLVD STE H
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City | HOUSTON
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State | TX
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Zip | 77025-1121
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Country | US
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Telephone | 832-380-4714
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Fax | 617-716-5160
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Provider Business Mailing Address
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Address Line | PO BOX 20433
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City | HOUSTON
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State | TX
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Zip | 77225-0433
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Country | US
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Telephone | 832-380-4714
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Fax | 617-716-5160
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GLEE-ANN LLEMIT
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Credential | O.D.
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Telephone | 832-380-4714
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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 | 7879
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License Number State | TX
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