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General NPI Number Information
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NPI Number | 1831611706
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Entity Type | Organization
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Legal Business Name | FORESIGHT EYE CARE PLLC
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 6020 34TH ST
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City | LUBBOCK
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State | TX
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Zip | 79407-3102
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Country | US
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Telephone | 806-784-1465
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Fax | 806-784-1466
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Provider Business Mailing Address
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Address Line | 3410 98TH ST STE 4-142
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City | LUBBOCK
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State | TX
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Zip | 79423-3847
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Country | US
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Telephone | 806-784-1465
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Fax | 806-784-1466
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. JARREN B RAY
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Credential | OD
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Telephone | 806-784-1465
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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 | 7292
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License Number State | TX
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