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General NPI Number Information
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NPI Number | 1487062261
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Entity Type | Organization
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Legal Business Name | THOMPSON EYES, LLC
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 5327 STORMY SUNSET
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City | SAN ANTONIO
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State | TX
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Zip | 78247-1851
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Country | US
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Telephone | 210-326-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 14080 NACOGDOCHES RD # 93
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City | SAN ANTONIO
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State | TX
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Zip | 78247-1944
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Country | US
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Telephone | 210-354-7390
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NICOLE IRENE THOMPSON
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Credential | ABOC
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Telephone | 210-354-7390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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