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General NPI Number Information
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NPI Number | 1730701442
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Entity Type | Organization
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Legal Business Name | VERTEX VISION
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Dates
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Enumeration Date | 05/15/2020
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 306 MAGNOLIA BLVD
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City | MAGNOLIA
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State | TX
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Zip | 77355-8535
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Country | US
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Telephone | 281-259-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 VILLAGE DALE AVE
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City | HOUSTON
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State | TX
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Zip | 77059-3591
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Country | US
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Telephone | 832-605-7103
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | VINCENT LAM
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Credential | O.D.
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Telephone | 832-605-7103
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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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