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General NPI Number Information
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NPI Number | 1871538322
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Entity Type | Organization
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Legal Business Name | FT WORTH EYE PROSTHETICS INC
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 801 PENNSYLVANIA AVE.
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City | FORT WORTH
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State | TX
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Zip | 76104-7659
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Country | US
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Telephone | 817-429-8086
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Fax | 817-338-9286
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Provider Business Mailing Address
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Address Line | 801 PENNSYLVANIA AVE.
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City | FORT WORTH
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State | TX
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Zip | 76104-7659
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Country | US
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Telephone | 817-429-8086
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Fax | 817-338-9286
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONNIE R. FRANKLIN
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Credential | OCULARIST
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Telephone | 817-429-8086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 05284-17
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License Number State | TX
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