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General NPI Number Information
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NPI Number | 1811560352
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Entity Type | Organization
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Legal Business Name | SINGLETON EYECARE CENTER PLLC
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 7451 MCCART AVE
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City | FORT WORTH
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State | TX
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Zip | 76133-7202
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Country | US
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Telephone | 817-263-2020
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Fax | 817-263-2021
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Provider Business Mailing Address
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Address Line | 2712 NEBLINA CT
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-0047
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Country | US
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Telephone | 210-347-3435
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | CLYDE SINGLETON
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Credential | OD
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Telephone | 817-263-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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