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General NPI Number Information
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NPI Number | 1669160644
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Entity Type | Organization
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Legal Business Name | MODERN VUE EYECARE PLLC
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 565 COIT RD
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City | PLANO
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State | TX
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Zip | 75075-7509
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Country | US
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Telephone | 972-754-5859
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Fax |
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Provider Business Mailing Address
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Address Line | 565 COIT RD SUITE 650
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City | PLANO
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State | TX
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Zip | 75075
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Country | US
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Telephone | 214-305-9395
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Fax | 214-305-8331
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Authorized Official
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Title or Position | THERAPEUTIC OPTOMETRIST/PART OWNER
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Name | DR. DEBORAH NGUYEN WEI
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Credential | OD
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Telephone | 972-754-5859
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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