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General NPI Number Information
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NPI Number | 1083536585
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Entity Type | Organization
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Legal Business Name | MW EYEWEAR LLC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 243 HALSEY ST
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City | NEWARK
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State | NJ
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Zip | 07102-3746
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Country | US
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Telephone | 973-323-4949
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Fax |
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Provider Business Mailing Address
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Address Line | 243 HALSEY ST APT 5A
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City | NEWARK
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State | NJ
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Zip | 07102-3750
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Country | US
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Telephone | 973-323-4949
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Fax |
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Authorized Official
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Title or Position | LICENSED OPTICIAN
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Name | MONICA WILBURN
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Credential | LDO
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Telephone | 862-237-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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