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General NPI Number Information
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NPI Number | 1780102186
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Entity Type | Organization
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Legal Business Name | NW EYE CENTER
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5025 NW LOOP 410
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5313
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Country | US
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Telephone | 210-984-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 5025 NW LOOP 410
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5313
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Country | US
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Telephone | 210-984-2020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRIS TRAN
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Credential | OD
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Telephone | 210-984-2020
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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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