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General NPI Number Information
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NPI Number | 1720479306
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Entity Type | Organization
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Legal Business Name | GENEYE INC.
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Dates
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Enumeration Date | 02/18/2015
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Last Update Date | 05/09/2017
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Provider Practice Location Address
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Address Line | 535 W WHEATLAND RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4515
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Country | US
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Telephone | 972-298-7249
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Fax | 972-298-6740
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Provider Business Mailing Address
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Address Line | 535 W WHEATLAND RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4515
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Country | US
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Telephone | 972-298-7249
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Fax | 972-298-6740
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Authorized Official
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Title or Position | DR. TRACEY L. YOTHERS O.D.
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Name | MS. TRACEY L YOTHERS
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Credential | O.D. M.S. F.A.A.O.
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Telephone | 972-298-7249
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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 | 5168TG
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License Number State | TX
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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 | 5168TG
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 5168TG
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 5168TG
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 5168TG
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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