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General NPI Number Information
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NPI Number | 1578084877
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Entity Type | Organization
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Legal Business Name | WHARTON EYE ASSOCIATES PA
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10119 US HWY 59 SOUTH SUITE 4
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City | WHARTON
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State | TX
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Zip | 77488
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Country | US
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Telephone | 979-533-7337
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Fax | 979-488-2918
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Provider Business Mailing Address
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Address Line | 10119 US HWY 59 SOUTH SUITE 4
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City | WHARTON
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State | TX
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Zip | 77488
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Country | US
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Telephone | 979-533-7337
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Fax | 979-488-2918
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Authorized Official
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Title or Position | OWNER
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Name | PRISCILLA METCALF
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Credential | MD
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Telephone | 979-533-0047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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