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General NPI Number Information
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NPI Number | 1912134925
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Entity Type | Organization
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Legal Business Name | BETTER OPTICS INC
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 1200 W MAIN ST
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City | GUN BARREL CITY
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State | TX
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Zip | 75156-5320
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Country | US
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Telephone | 903-880-4393
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Fax | 903-880-0108
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Provider Business Mailing Address
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Address Line | 4419 HOLLAND AVE 104
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City | DALLAS
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State | TX
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Zip | 75219-2134
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Country | US
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Telephone | 903-880-4393
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Fax | 903-880-0108
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. LUIS GABRIEL PEREZ
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Credential | O.D.
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Telephone | 903-880-4393
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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 | 6799TG
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License Number State | TX
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