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General NPI Number Information
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NPI Number | 1922973908
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Entity Type | Organization
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Legal Business Name | EDWIN Y ENDO OD PLLC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1901 KIRKLAND DR
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City | MIDLAND
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State | TX
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Zip | 79707-2035
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Country | US
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Telephone | 432-203-8874
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Fax |
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Provider Business Mailing Address
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Address Line | 1922 BOISE DR
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City | ODESSA
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State | TX
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Zip | 79762-2106
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. EDWIN ENDO
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Credential | OD
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Telephone | 808-232-7273
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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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