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General NPI Number Information
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NPI Number | 1558792978
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Entity Type | Organization
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Legal Business Name | EYES ON TEXAS VISION CARE, PLLC
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 12639 BLANCO RD
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City | SAN ANTONIO
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State | TX
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Zip | 78216-8103
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Country | US
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Telephone | 210-826-1720
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Fax | 210-826-1792
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Provider Business Mailing Address
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Address Line | 1400 PATRICIA APT 216
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1135
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Country | US
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Telephone | 910-918-1329
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Fax | 210-826-1792
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | MARC DAVID KESSNER
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Credential | OD
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Telephone | 210-826-1720
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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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