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General NPI Number Information
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NPI Number | 1356574503
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Entity Type | Individual
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Provider Name | BRIAN LEE O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 3450 CYPRESS CREEK PKWY WALMART VISION
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City | HOUSTON
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State | TX
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Zip | 77068-3606
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Country | US
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Telephone | 346-763-7392
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Fax | 585-385-7969
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Provider Business Mailing Address
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Address Line | 3450 CYPRESS CREEK PKWY WALMART VISION
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City | HOUSTON
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State | TX
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Zip | 77068-3606
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Country | US
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Telephone | 346-763-7392
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Fax | 585-385-7969
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 10139
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License Number State | TX
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