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NPI 1366967697

NPI 1366967697 : SAVE OPTICAL INC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1366967697
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAVE OPTICAL INC 
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Dates
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    Enumeration Date     |    08/08/2017
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    Last Update Date     |    01/19/2021
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Provider Practice Location Address
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    Address Line         |    5320 GRIGGS RD STE B 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77021-3715
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    Country              |    US
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    Telephone            |    713-242-9050
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 321045 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77221-1045
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    Country              |    US
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    Telephone            |    832-754-3811
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. CLIFTON JOSEPH KOCHINSKY 
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    Credential           |    OPTICAIN
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    Telephone            |    713-645-7165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332H00000X
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    Taxonomy Name        |    Eyewear Supplier
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    156FX1800X
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    Taxonomy Name        |    Optician
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    License Number       |    29567
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    License Number State |    TX
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