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General NPI Number Information
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NPI Number | 1558884577
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Entity Type | Organization
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Legal Business Name | ACUITY VISION, PLLC
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Dates
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Enumeration Date | 07/21/2017
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Last Update Date | 10/17/2017
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Provider Practice Location Address
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Address Line | 4217 BENNER ROAD SUITE 450
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City | KYLE
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State | TX
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Zip | 78640-7864
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Country | US
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Telephone | 979-571-0629
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Fax |
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Provider Business Mailing Address
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Address Line | 4217 BENNER RD. SUITE 450
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City | KYLE
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State | TX
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Zip | 78640
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Country | US
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Telephone | 512-430-4350
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Fax | 512-430-4393
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Authorized Official
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Title or Position | OWNER
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Name | VIRGINIA KEKAHUNA
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Credential | O.D.
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Telephone | 512-430-4350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 8242TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number | 8242TG
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 152WX0102X
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Taxonomy Name | Occupational Vision Optometrist
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License Number | 8242TG
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8242TG
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License Number State | TX
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