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General NPI Number Information
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NPI Number | 1972804169
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Entity Type | Organization
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Legal Business Name | LONE STAR EYE PLLC
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 2700 BARTON CREEK BLVD SUITE 110
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City | AUSTIN
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State | TX
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Zip | 78735-1641
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Country | US
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Telephone | 512-328-7300
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Fax | 512-328-7303
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Provider Business Mailing Address
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Address Line | 2700 BARTON CREEK BLVD SUITE 110
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City | AUSTIN
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State | TX
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Zip | 78735-1641
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Country | US
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Telephone | 512-328-7300
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Fax | 512-328-7303
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Authorized Official
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Title or Position | OWNER
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Name | JAMES C. PACKER
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Credential | OD
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Telephone | 512-328-7300
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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 | 7577TG
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License Number State | TX
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