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General NPI Number Information
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NPI Number | 1518849728
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Entity Type | Organization
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Legal Business Name | JW EYE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 4501 JOE RAMSEY BLVD E STE 110
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City | GREENVILLE
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State | TX
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Zip | 75401-7838
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Country | US
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Telephone | 903-454-1886
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Fax |
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Provider Business Mailing Address
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Address Line | 11442 N CENTRAL EXPY
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City | DALLAS
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State | TX
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Zip | 75243-6602
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Country | US
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Telephone | 214-754-0000
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Fax |
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Authorized Official
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Title or Position | OFFICER AND AUTHORIZED OFFICIAL
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Name | JENNIFER BOYD BALDOCK
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Credential |
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Telephone | 615-234-5954
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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