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General NPI Number Information
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NPI Number | 1073846267
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Entity Type | Organization
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Legal Business Name | EYECARE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 09/07/2009
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 6515 MAIN ST SUITE 8L
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City | TRUMBULL
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State | CT
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Zip | 06611-1354
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Country | US
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Telephone | 203-374-2020
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Fax | 203-880-9763
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Provider Business Mailing Address
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Address Line | 6515 MAIN ST STE 12
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City | TRUMBULL
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State | CT
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Zip | 06611-1390
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Country | US
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Telephone | 203-374-2020
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Fax | 203-880-9763
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Authorized Official
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Title or Position | SOLE OWNER
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Name | RANDY LEIGH SCHULMAN
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Credential |
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Telephone | 203-374-2020
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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 | 002216
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License Number State | CT
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