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General NPI Number Information
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NPI Number | 1396900221
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Entity Type | Organization
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Legal Business Name | STARS IN YOUR EYES OPTOMETRY
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 2116 HANCOCK DR
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City | AUSTIN
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State | TX
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Zip | 78756-2507
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Country | US
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Telephone | 512-371-0144
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Fax | 512-371-0164
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Provider Business Mailing Address
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Address Line | 2116 HANCOCK DR
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City | AUSTIN
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State | TX
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Zip | 78756-2507
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Country | US
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Telephone | 512-371-0144
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Fax | 512-371-0164
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Authorized Official
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Title or Position | OWNER / OPTOMETRIST
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Name | DR. EMILY H. SCHOTTMAN
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Credential | OD
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Telephone | 512-371-0144
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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 | 5531T
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License Number State | TX
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