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General NPI Number Information
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NPI Number | 1457594129
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Entity Type | Organization
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Legal Business Name | KILLEEN EYE ASSOCIATES, P.A.
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Dates
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Enumeration Date | 04/10/2009
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 3124 E CENTRAL TEXAS EXPY
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City | KILLEEN
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State | TX
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Zip | 76543-7333
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Country | US
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Telephone | 254-690-4733
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Fax | 254-690-6728
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Provider Business Mailing Address
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Address Line | 3124 E CENTRAL TEXAS EXPY
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City | KILLEEN
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State | TX
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Zip | 76543-7333
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Country | US
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Telephone | 254-690-4733
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Fax | 254-690-6728
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. THOMAS ALLEN LUCAS JR.
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Credential | O.D.
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Telephone | 254-690-4733
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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 | 6898TG
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License Number State | TX
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