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General NPI Number Information
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NPI Number | 1669758215
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Entity Type | Organization
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Legal Business Name | EYECARUMBA VISION
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 6702 SEAWALL BLVD STE A
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City | GALVESTON
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State | TX
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Zip | 77551-9001
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Country | US
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Telephone | 409-744-4600
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Fax | 409-744-4601
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Provider Business Mailing Address
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Address Line | 1307 CREEKFORD CIR
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City | SUGAR LAND
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State | TX
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Zip | 77478-3966
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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 | OWNER
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Name | DR. KHOI-NGUYEN DINH NGUYEN
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Credential | O.D.
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Telephone | 617-921-3378
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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 | 7747TG
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License Number State | TX
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