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General NPI Number Information
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NPI Number | 1881125151
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Entity Type | Organization
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Legal Business Name | PREMIER VIEW PLLC
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 208 W COOMBS ST
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City | ALVIN
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State | TX
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Zip | 77511-2827
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Country | US
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Telephone | 713-814-3937
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Fax | 713-814-3897
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Provider Business Mailing Address
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Address Line | 11601 SHADOW CREEK PKWY STE 111-168
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City | PEARLAND
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State | TX
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Zip | 77584-7283
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Country | US
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Telephone | 713-814-3937
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Fax | 713-814-3897
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEVI L CLYDE
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Credential | O.D.
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Telephone | 713-814-3937
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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 | 8232TG
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License Number State | TX
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