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General NPI Number Information
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NPI Number | 1396311643
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Entity Type | Organization
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Legal Business Name | HEWITT VISION, PLLC
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 502 N HEWITT DR
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City | HEWITT
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State | TX
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Zip | 76643-3038
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Country | US
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Telephone | 254-666-2992
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Fax |
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Provider Business Mailing Address
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Address Line | 502 N HEWITT DR
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City | HEWITT
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State | TX
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Zip | 76643-3038
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Country | US
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Telephone | 254-666-2292
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Fax |
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Authorized Official
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Title or Position | SHAREHOLDER
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Name | CLAYTON RUTKOWSKI
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Credential | OD
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Telephone | 979-966-8847
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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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