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General NPI Number Information
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NPI Number | 1528223609
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Entity Type | Organization
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Legal Business Name | VISION WORKS EYECARE, P.A.
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 6842 LEBANON ROAD SUITE 101
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City | FRISCO
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State | TX
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Zip | 75034-7480
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Country | US
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Telephone | 972-712-7890
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Fax | 972-712-3119
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Provider Business Mailing Address
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Address Line | 6842 LEBANON ROAD SUITE 101
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City | FRISCO
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State | TX
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Zip | 75034-7480
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Country | US
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Telephone | 972-712-7890
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Fax | 972-712-3119
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JENNIFER LEIGH PATTERSON
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Credential | O.D.
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Telephone | 972-712-7890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 5251TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5251TG
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License Number State | TX
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