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General NPI Number Information
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NPI Number | 1659872703
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Entity Type | Organization
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Legal Business Name | INFINITY EYECARE & OPTICAL PLLC
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 1437 FM 1463 STE. 180
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone | 832-877-9610
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Fax |
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Provider Business Mailing Address
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Address Line | 1437 FM 1463 STE. 180
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. MELISSA M TRAN
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Credential | OD
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Telephone | 832-877-9610
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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 | 6962TG
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License Number State | TX
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