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General NPI Number Information
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NPI Number | 1295686749
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Entity Type | Organization
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Legal Business Name | GREAT HILLS EYE CARE, PC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 595 US-183 STE A
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City | LIBERTY HILL
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State | TX
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Zip | 78642
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Country | US
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Telephone | 512-759-6554
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Fax | 512-737-7274
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Provider Business Mailing Address
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Address Line | 10401 RESEARCH BLVD STE A
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City | AUSTIN
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State | TX
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Zip | 78759-5712
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Country | US
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Telephone | 512-345-2000
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Fax | 512-345-2002
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ROBERT RONQUILLO
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Credential |
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Telephone | 781-718-1622
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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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