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General NPI Number Information
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NPI Number | 1841814985
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Entity Type | Organization
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Legal Business Name | EIVA EYE CARE PLLC
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 4078 WESTHEIMER RD STE 1
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City | HOUSTON
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State | TX
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Zip | 77027-5008
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Country | US
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Telephone | 832-778-8605
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Fax |
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Provider Business Mailing Address
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Address Line | 1403 LEHMAN ST
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City | HOUSTON
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State | TX
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Zip | 77018-1213
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Country | US
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Telephone | 832-869-0691
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. NEDA ESMAEILI
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Credential | OD
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Telephone | 832-860-0691
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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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