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NPI 1750106167

NPI 1750106167 : FLOWER EYE CARE PLLC : HELOTES, TX

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General NPI Number Information
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    NPI Number           |    1750106167
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    Entity Type          |    Organization 
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    Legal Business Name  |    FLOWER EYE CARE PLLC 
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Dates
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    Enumeration Date     |    11/20/2024
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    Last Update Date     |    02/20/2025
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Provider Practice Location Address
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    Address Line         |    12340 BANDERA RD STE 106 
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    City                 |    HELOTES
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    State                |    TX
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    Zip                  |    78023-4575
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    Country              |    US
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    Telephone            |    210-682-9303
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    Fax                  |    210-682-9313
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Provider Business Mailing Address
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    Address Line         |    12340 BANDERA RD STE 106 
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    City                 |    HELOTES
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    State                |    TX
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    Zip                  |    78023-4575
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    Country              |    US
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    Telephone            |    210-682-9303
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    Fax                  |    210-682-9313
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Authorized Official
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    Title or Position    |    OPTOMETRIST
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    Name                 |    DR. JEREMIAH  FLOWER 
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    Credential           |    OD
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    Telephone            |    314-766-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    152WP0200X
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    Taxonomy Name        |    Pediatric Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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