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General NPI Number Information
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NPI Number | 1457194698
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Entity Type | Organization
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Legal Business Name | LENS LOGIC
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 2055 WESTHEIMER RD STE 125
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City | HOUSTON
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State | TX
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Zip | 77098-1591
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Country | US
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Telephone | 832-240-8918
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 STEEL ST APT 303
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City | HOUSTON
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State | TX
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Zip | 77098-1201
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Country | US
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Telephone | 832-240-8918
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DEANNA LEONG
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Credential | OD
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Telephone | 713-291-1828
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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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