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General NPI Number Information
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NPI Number | 1871185926
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Entity Type | Organization
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Legal Business Name | FLASH EYEWEAR AND REPAIR LLC
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 13709 STATE HIGHWAY 249
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City | HOUSTON
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State | TX
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Zip | 77086-2705
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Country | US
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Telephone | 832-288-2661
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Fax | 800-261-5036
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Provider Business Mailing Address
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Address Line | 13709 STATE HIGHWAY 249
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City | HOUSTON
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State | TX
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Zip | 77086-2705
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Country | US
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Telephone | 832-288-2661
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Fax | 800-261-5036
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MARIO SANTILLAN
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Credential |
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Telephone | 832-288-2661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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