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General NPI Number Information
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NPI Number | 1649803131
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Entity Type | Organization
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Legal Business Name | CITY OPTOMETRY PLLC
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Dates
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Enumeration Date | 02/13/2020
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 10415 W. GRAND PKWY. S SUITE 100B
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City | RICHMOND
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State | TX
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Zip | 77407
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Country | US
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Telephone | 336-505-1704
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Fax | 346-292-5297
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Provider Business Mailing Address
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Address Line | 10415 W. GRAND PKWY. S SUITE 100B
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City | RICHMOND
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State | TX
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Zip | 77407
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Country | US
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Telephone | 336-505-1704
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Fax | 346-292-5297
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | NEHAD VIRANI-ALI
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Credential | OD
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Telephone | 336-505-1704
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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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