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General NPI Number Information
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NPI Number | 1407222631
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Entity Type | Organization
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Legal Business Name | CONNECTVISION EYE CARE, PA
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 3711 JUSTIN RD SUITE 150
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2560
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Country | US
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Telephone | 214-392-0608
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Fax |
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Provider Business Mailing Address
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Address Line | 3320 STONE GLEN DR
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City | PLANO
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State | TX
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Zip | 75074-8925
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NNEOMA E. NWACHUKWU
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Credential | O.D.
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Telephone | 214-392-0608
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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 | 7386TG
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License Number State | TX
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