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General NPI Number Information
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NPI Number | 1861525362
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Entity Type | Organization
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Legal Business Name | FOR EYES, INC.
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 2693 HIGHWAY 6 S
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City | HOUSTON
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State | TX
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Zip | 77082-1703
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Country | US
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Telephone | 281-493-1166
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Fax | 281-493-0043
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Provider Business Mailing Address
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Address Line | 2693 HIGHWAY 6 S
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City | HOUSTON
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State | TX
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Zip | 77082-1703
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Country | US
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Telephone | 281-493-1166
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Fax | 281-493-0043
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROLAND GARZA MONTEMAYOR JR.
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Credential | O.D.
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Telephone | 281-493-1166
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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 | 3367T
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License Number State | TX
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