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General NPI Number Information
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NPI Number | 1063681955
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Entity Type | Organization
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Legal Business Name | EVERYTHING OPTICAL FOR LESS, INC.
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 2169 MERRICK RD
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City | MERRICK
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State | NY
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Zip | 11566-4720
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Country | US
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Telephone | 516-223-1616
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Fax | 516-223-8590
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Provider Business Mailing Address
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Address Line | 2169 MERRICK RD
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City | MERRICK
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State | NY
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Zip | 11566-4720
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Country | US
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Telephone | 516-223-1616
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Fax | 516-223-8590
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD BOHN
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Credential | OD
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Telephone | 516-223-1616
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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 | VUT2830-1
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License Number State | NY
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