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General NPI Number Information
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NPI Number | 1679098826
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Entity Type | Organization
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Legal Business Name | CLARIFEYE TOTAL EYE CARE, PLLC
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Dates
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Enumeration Date | 08/09/2017
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 2956 INTERSTATE 45 N STE 700B
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City | CONROE
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State | TX
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Zip | 77303-7903
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Country | US
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Telephone | 936-267-0190
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Fax | 713-589-8554
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Provider Business Mailing Address
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Address Line | 2956 INTERSTATE 45 N STE 700B
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City | CONROE
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State | TX
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Zip | 77303-7903
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Country | US
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Telephone | 936-267-0190
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Fax | 713-589-8554
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Authorized Official
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Title or Position | THERAPEUTIC OPTOMETRIST
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Name | DR. HANG TUYET KRETZSCHMAR
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Credential | OD
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Telephone | 936-267-0190
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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 | 9022TG
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License Number State | TX
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