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General NPI Number Information
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NPI Number | 1962444687
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Entity Type | Organization
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Legal Business Name | DRS. AMIN, CLARK AND ASSOCIATE OPTOMETRISTS, PA
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 5501 N INTERSTATE 35 STE B
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City | AUSTIN
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State | TX
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Zip | 78723-2563
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Country | US
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Telephone | 512-452-5735
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Fax | 512-451-0239
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Provider Business Mailing Address
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Address Line | 5501 N INTERSTATE 35 STE B
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City | AUSTIN
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State | TX
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Zip | 78723-2563
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Country | US
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Telephone | 512-452-5735
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Fax | 512-451-0239
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Authorized Official
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Title or Position | PRESIDENT
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Name | OPAL R AMIN
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Credential | OD
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Telephone | 512-452-5735
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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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