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General NPI Number Information
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NPI Number | 1902923741
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Entity Type | Organization
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Legal Business Name | IDEAL EYECARE, P.A.
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 6360 LAKE WORTH BLVD
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City | LAKE WORTH
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State | TX
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Zip | 76135-3604
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Country | US
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Telephone | 817-238-7171
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Fax | 817-238-7172
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Provider Business Mailing Address
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Address Line | 7216 GLENVIEW DR
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City | RICHLAND HILLS
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State | TX
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Zip | 76180-8612
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Country | US
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Telephone | 817-238-7171
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOAN LE
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Credential | O.D.
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Telephone | 817-238-7171
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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 | 5911TG
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License Number State | TX
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