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General NPI Number Information
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NPI Number | 1013186402
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Entity Type | Organization
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Legal Business Name | LONG ISLAND OPTOMETRIC VISION DEVELOPMENT, PLLC
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 265 POST AVENUE SUITE 380
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City | WESTBURY
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State | NY
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Zip | 11590-2233
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Country | US
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Telephone | 516-334-9385
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Fax |
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Provider Business Mailing Address
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Address Line | 265 POST AVE SUITE 380
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City | WESTBURY
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State | NY
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Zip | 11590-2233
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Country | US
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Telephone | 516-334-9385
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. MICHELE ROBIN BESSLER
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Credential | OD
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Telephone | 516-334-9385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | TUV005207
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License Number State | NY
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