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General NPI Number Information
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NPI Number | 1427267038
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Entity Type | Organization
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Legal Business Name | BELLA VISTA EYE CARE, PLLC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1001 E FERGUSON ST
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City | PHARR
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State | TX
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Zip | 78577-2651
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Country | US
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Telephone | 956-782-9444
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Fax | 956-785-9446
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Provider Business Mailing Address
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Address Line | 701 YUCCA AVE
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City | MCALLEN
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State | TX
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Zip | 78504-2851
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Country | US
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Telephone | 956-330-5792
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARINA T VILLALOBOS
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Credential |
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Telephone | 956-330-5792
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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 | 06342TG
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License Number State | TX
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