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General NPI Number Information
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NPI Number | 1760533202
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Entity Type | Organization
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Legal Business Name | D.E.Y. OPTICAL, LTD.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 13300 HARGRAVE RD STE 300
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City | HOUSTON
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State | TX
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Zip | 77070-4374
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Country | US
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Telephone | 281-890-7226
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Fax | 281-890-7226
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Provider Business Mailing Address
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Address Line | 13300 HARGRAVE RD STE 300
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City | HOUSTON
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State | TX
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Zip | 77070-4374
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Country | US
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Telephone | 281-890-7226
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Fax | 281-890-7226
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Authorized Official
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Title or Position | OPTICAL MANAGER
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Name | MRS. LISA ANN HARMON
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Credential | ABOC, NCLC, RDO
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Telephone | 281-890-7226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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