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General NPI Number Information
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NPI Number | 1902727340
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Entity Type | Organization
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Legal Business Name | HEATH VISION SOURCE
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 4260 RIDGE RD SUITE 101
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City | HEATH
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State | TX
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Zip | 75032
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Country | US
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Telephone | 972-942-9197
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Fax | 972-942-9194
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Provider Business Mailing Address
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Address Line | 4260 RIDGE RD SUITE 101
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City | HEATH
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State | TX
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Zip | 75032
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Country | US
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Telephone | 972-942-9197
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Fax | 972-942-9194
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Authorized Official
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Title or Position | OWNER
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Name | JERRY CHIH
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Credential | OD
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Telephone | 832-798-3813
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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 |
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License Number State |
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