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General NPI Number Information
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NPI Number | 1386399418
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Entity Type | Organization
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Legal Business Name | CASCO VISION PLLC
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 03/20/2022
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Provider Practice Location Address
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Address Line | 4846 FM 1463 SUITE 400
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City | KATY
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State | TX
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Zip | 77494-7706
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Country | US
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Telephone | 620-271-1377
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Fax |
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Provider Business Mailing Address
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Address Line | 12331 N GESSNER RD APT 1235
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City | HOUSTON
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State | TX
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Zip | 77064-7676
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Country | US
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Telephone | 620-271-1377
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Fax |
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Authorized Official
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Title or Position | OWENER/OPTOMETRIST
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Name | DR. JANTZ CHAPPEL
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Credential | OD
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Telephone | 620-271-1377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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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 | 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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