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General NPI Number Information
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NPI Number | 1538695994
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Entity Type | Organization
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Legal Business Name | VIP VISION EYE PROFESSIONALS, PLLC
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 5135 W ALABAMA ST
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City | HOUSTON
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State | TX
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Zip | 77056-5827
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Country | US
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Telephone | 713-877-1412
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Fax |
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Provider Business Mailing Address
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Address Line | 6515 DAYRIDGE LN
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City | HOUSTON
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State | TX
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Zip | 77048-5594
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Country | US
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Telephone | 713-877-1412
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. OGECHI UKEGBU
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Credential | OD
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Telephone | 713-877-1412
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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 | 8263T
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License Number State | TX
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