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General NPI Number Information
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NPI Number | 1700761624
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Entity Type | Organization
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Legal Business Name | VISION COLLECTIVE PLLC
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1061 N COLEMAN ST STE 201
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City | PROSPER
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State | TX
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Zip | 75078-2317
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Country | US
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Telephone | 469-850-2920
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Fax |
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Provider Business Mailing Address
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Address Line | 10416 TACARA DR APT 11313
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City | FORT WORTH
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State | TX
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Zip | 76244-2490
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Country | US
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Telephone | 985-515-7098
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | BROOKE DUGAS
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Credential | OD
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Telephone | 985-515-7098
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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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