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General NPI Number Information
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NPI Number | 1356158224
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Entity Type | Organization
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Legal Business Name | EYEDEA OPTOMETRY
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Dates
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Enumeration Date | 12/14/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 2832 E MARTIN LUTHER KING JR BLVD SUITE 106
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City | AUSTIN
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State | TX
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Zip | 78702
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Country | US
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Telephone | 815-505-3830
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 WESTMINSTER DR UNIT 1404
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City | AUSTIN
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State | TX
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Zip | 78723-2683
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Country | US
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Telephone | 815-505-3830
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Fax |
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Authorized Official
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Title or Position | OWNER/ OPTOMETRIST
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Name | DR. ARPIT PATEL
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Credential | O.D.
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Telephone | 815-505-3830
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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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