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General NPI Number Information
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NPI Number | 1790433951
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Entity Type | Organization
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Legal Business Name | REENVISION EYECARE, PLLC
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Dates
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Enumeration Date | 03/16/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 8949 COIT RD STE 170
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City | FRISCO
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State | TX
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Zip | 75035-5845
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Country | US
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Telephone | 469-908-8282
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Fax |
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Provider Business Mailing Address
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Address Line | 8949 COIT RD STE 170
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City | FRISCO
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State | TX
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Zip | 75035-5996
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Country | US
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Telephone | 469-908-8282
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NEHA PATEL
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Credential | OD
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Telephone | 817-437-7444
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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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