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General NPI Number Information
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NPI Number | 1780133884
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Entity Type | Organization
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Legal Business Name | STRONG VISION CARE PC
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Dates
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Enumeration Date | 09/29/2016
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 158 INDUSTRIAL AVE
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City | AZLE
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State | TX
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Zip | 76020-3135
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Country | US
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Telephone | 817-444-1717
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Fax | 817-270-5100
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Provider Business Mailing Address
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Address Line | 601 NORTHWEST PKWY B
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City | AZLE
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State | TX
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Zip | 76020-2930
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Country | US
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Telephone | 817-444-1717
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Fax | 817-270-5100
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE STRONG
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Credential | OD
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Telephone | 903-513-4852
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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 | 8387TG
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License Number State | TX
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