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General NPI Number Information
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NPI Number | 1497890966
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Entity Type | Organization
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Legal Business Name | LUX EYEWEAR FOR LESS
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 251 SW WILSHIRE BLVD
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City | BURLESON
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State | TX
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Zip | 76028-4700
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Country | US
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Telephone | 817-447-3252
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Fax | 817-447-3194
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Provider Business Mailing Address
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Address Line | 251 SW WILSHIRE BLVD
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City | BURLESON
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State | TX
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Zip | 76028-4700
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Country | US
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Telephone | 817-447-3252
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Fax | 817-447-3194
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM J LUCK
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Credential | O.D.
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Telephone | 817-447-3252
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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 | 2393
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License Number State | TX
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