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General NPI Number Information
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NPI Number | 1063691731
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Entity Type | Organization
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Legal Business Name | FLUSHING OPTICAL SERVICES INC.
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 105 S CHERRY ST
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City | FLUSHING
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State | MI
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Zip | 48433-2018
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Country | US
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Telephone | 810-659-9181
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Fax | 810-659-6811
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Provider Business Mailing Address
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Address Line | PO BOX 154
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City | FLUSHING
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State | MI
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Zip | 48433-0154
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Country | US
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Telephone | 810-659-9181
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Fax | 810-659-6811
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID OSTRANDER
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Credential |
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Telephone | 810-659-9181
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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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