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General NPI Number Information
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NPI Number | 1497751838
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Entity Type | Organization
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Legal Business Name | EYE INSTITUTE OF AUSTIN
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 3300 W ANDERSON LN STE 308
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City | AUSTIN
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State | TX
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Zip | 78757-1023
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Country | US
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Telephone | 512-454-8744
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Fax | 512-279-2990
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Provider Business Mailing Address
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Address Line | 3300 W ANDERSON LN STE 308
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City | AUSTIN
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State | TX
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Zip | 78757-1023
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Country | US
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Telephone | 512-454-8744
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Fax | 512-279-2990
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MO LUCIA LIVERMORE
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Credential |
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Telephone | 512-279-3004
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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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