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NPI 1902987340

NPI 1902987340 : SEABERT EYE CARE, PC : BURLESON, TX

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General NPI Number Information
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    NPI Number           |    1902987340
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    Entity Type          |    Organization 
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    Legal Business Name  |    SEABERT EYE CARE, PC 
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Dates
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    Enumeration Date     |    10/18/2006
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    Last Update Date     |    01/15/2021
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Provider Practice Location Address
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    Address Line         |    1305 HILLSIDE DR 
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    City                 |    BURLESON
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    State                |    TX
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    Zip                  |    76028-8681
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    Country              |    US
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    Telephone            |    817-297-3736
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    Fax                  |    817-297-3749
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Provider Business Mailing Address
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    Address Line         |    1305 HILLSIDE DR 
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    City                 |    BURLESON
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    State                |    TX
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    Zip                  |    76028-8681
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    Country              |    US
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    Telephone            |    817-297-3736
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    Fax                  |    817-297-3749
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    DR. WILLIAM R. SEABERT II
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    Credential           |    O.D.
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    Telephone            |    817-297-3736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    6103TG
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    6103TG
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    License Number State |    TX
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