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General NPI Number Information
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NPI Number | 1861877185
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Entity Type | Organization
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Legal Business Name | VISUAL EYE HEALTH
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 08/22/2017
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Provider Practice Location Address
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Address Line | 6801 W ADAMS AVE
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City | TEMPLE
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State | TX
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Zip | 76502-0005
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Country | US
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Telephone | 254-314-2933
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 CUSTER PARKWAY SUITE 105
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City | RICHARDSON
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State | TX
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Zip | 75080
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Country | US
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Telephone | 469-929-2900
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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. VALENTA CARTER
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Credential | O.D.
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Telephone | 469-929-2900
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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 | 7548
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License Number State | TX
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