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General NPI Number Information
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NPI Number | 1730544628
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Entity Type | Organization
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Legal Business Name | LWS EYECARE, P.A.
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 12/21/2015
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Provider Practice Location Address
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Address Line | 5858 MAIN ST STE 110
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City | FRISCO
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State | TX
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Zip | 75033-4502
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Country | US
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Telephone | 469-633-9339
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Fax |
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Provider Business Mailing Address
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Address Line | 5858 MAIN ST STE 110
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City | FRISCO
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State | TX
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Zip | 75033-4502
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Country | US
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Telephone | 469-633-9339
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/PRESIDENT
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Name | DR. LINDSEY SUELFLOW
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Credential | O.D.
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Telephone | 469-633-9339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 7970TG
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License Number State | TX
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