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General NPI Number Information
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NPI Number | 1275408213
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Entity Type | Organization
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Legal Business Name | EYECONIC EYE CARE OF TEXAS
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 951 W BELT LINE RD
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City | DESOTO
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State | TX
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Zip | 75115-3732
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Country | US
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Telephone | 469-643-4694
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Fax | 469-519-4131
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Provider Business Mailing Address
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Address Line | 951 W BELT LINE RD
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City | DESOTO
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State | TX
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Zip | 75115-3732
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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 AND OPTOMETRIST
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Name | CRYSTAL CHINELO ONYEADOR
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Credential | OD
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Telephone | 817-504-9025
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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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