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General NPI Number Information
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NPI Number | 1376623231
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Entity Type | Organization
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Legal Business Name | KATY VISION ASSOCIATES, PA
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 23702 WESTHEIMER PKWY SUITE C
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City | KATY
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State | TX
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Zip | 77494-3605
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Country | US
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Telephone | 281-391-2020
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Fax | 281-391-0786
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Provider Business Mailing Address
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Address Line | 23702 WESTHEIMER PKWY SUITE C
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City | KATY
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State | TX
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Zip | 77494-3605
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Country | US
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Telephone | 281-391-2020
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Fax | 281-391-0786
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHIROZ VIRANI
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Credential | O.D.
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Telephone | 281-391-2020
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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 | 04038TG
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License Number State | TX
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