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General NPI Number Information
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NPI Number | 1629132675
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Entity Type | Organization
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Legal Business Name | PASADENA EYE ASSOCIATES
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 01/21/2019
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Provider Practice Location Address
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Address Line | 4450 EAST SAM HOUSTON PARKWAY SOUTH SUITE E
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City | PASADENA
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State | TX
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Zip | 77505-3913
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Country | US
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Telephone | 713-473-5715
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Fax | 713-473-3314
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Provider Business Mailing Address
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Address Line | 4450 EAST SAM HOUSTON PARKWAY SOUTH SUITE E
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City | PASADENA
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State | TX
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Zip | 77505-3913
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Country | US
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Telephone | 713-473-5715
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Fax | 713-473-3314
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT ERIC SEGAL
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Credential | M.D.,
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Telephone | 713-473-5715
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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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Taxonomy #2
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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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