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General NPI Number Information
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NPI Number | 1013796754
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Entity Type | Organization
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Legal Business Name | PRIME OPTICS LLC
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 3250 VERNON BLVD
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City | ASTORIA
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State | NY
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Zip | 11106-4927
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Country | US
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Telephone | 718-267-3687
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Fax | 718-267-3692
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Provider Business Mailing Address
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Address Line | 8626 122ND ST
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2505
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Country | US
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Telephone | 718-267-3687
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Fax | 718-267-3692
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Authorized Official
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Title or Position | OWNER
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Name | DR. BHAJNEET KAUR
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Credential | OD
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Telephone | 718-267-3687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number |
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License Number State |
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Taxonomy #4
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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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