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General NPI Number Information
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NPI Number | 1689040610
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Entity Type | Organization
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Legal Business Name | AT FIRST SIGHT INC
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 1900 NORTH LOOP W STE 140
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City | HOUSTON
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State | TX
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Zip | 77018-8151
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Country | US
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Telephone | 713-943-9477
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Fax | 713-943-2867
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Provider Business Mailing Address
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Address Line | 1900 NORTH LOOP W STE 140
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City | HOUSTON
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State | TX
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Zip | 77018-8151
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Country | US
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Telephone | 713-943-9477
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Fax | 713-943-2867
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Authorized Official
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Title or Position | OWNER
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Name | DAVID M JOHNSON
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Credential | OD
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Telephone | 713-943-9477
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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 | 7283TG
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License Number State | TX
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