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General NPI Number Information
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NPI Number | 1508660580
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Entity Type | Organization
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Legal Business Name | FREEDOM VISION CONSULTANTS PLLC
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 925 E SOUTHLAKE BLVD STE 200
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City | SOUTHLAKE
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State | TX
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Zip | 76092-1588
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Country | US
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Telephone | 817-416-8561
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Fax | 817-416-3661
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Provider Business Mailing Address
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Address Line | 925 E SOUTHLAKE BLVD STE 200
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City | SOUTHLAKE
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State | TX
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Zip | 76092-1588
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Country | US
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Telephone | 817-360-5418
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Fax | 817-416-3661
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT LYONS
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Credential | MD
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Telephone | 817-416-8561
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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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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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