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General NPI Number Information
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NPI Number | 1821091943
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Entity Type | Organization
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Legal Business Name | CHEYNE EYE CENTER P.A.
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 4000 E US HIGHWAY 377
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City | GRANBURY
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State | TX
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Zip | 76049-7432
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Country | US
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Telephone | 817-573-7153
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Fax | 817-573-5640
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Provider Business Mailing Address
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Address Line | 4000 E US HIGHWAY 377
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City | GRANBURY
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State | TX
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Zip | 76049-7432
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Country | US
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Telephone | 817-573-7153
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Fax | 817-573-5640
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRIS DAVID CHEYNE
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Credential | O.D.
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Telephone | 817-573-7153
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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 | 5017230001
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License Number State | TX
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