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General NPI Number Information
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NPI Number | 1760386163
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Entity Type | Organization
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Legal Business Name | FRIENDLY EYES OPTOMETRY LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 8401 GATEWAY BLVD W SPC F07B
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City | EL PASO
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State | TX
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Zip | 79925-5668
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Country | US
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Telephone | 915-771-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 534 E ZARAGOZA ST APT 7
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City | PENSACOLA
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State | FL
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Zip | 32502-6100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BARRY M CONCOOL
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Credential |
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Telephone | 267-566-4109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | NULL
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