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General NPI Number Information
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NPI Number | 1982125316
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Entity Type | Organization
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Legal Business Name | LILY VISION PLLC
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 3331 MERIDIANA PARKWAY SUITE 800
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City | ROSHARON
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State | TX
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Zip | 77583
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Country | US
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Telephone | 346-522-2015
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Fax |
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Provider Business Mailing Address
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Address Line | 3331 MERIDIANA PARKWAY SUITE 800
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City | ROSHARON
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State | TX
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Zip | 77583
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Country | US
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Telephone | 346-522-2015
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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. HONG LY
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Credential | O.D.
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Telephone | 346-522-2015
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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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