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General NPI Number Information
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NPI Number | 1104031905
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Entity Type | Organization
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Legal Business Name | OPTICS BY DSMB, INC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 87 GREENWICH AVE
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City | GREENWICH
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State | CT
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Zip | 06830-5521
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Country | US
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Telephone | 203-552-1072
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Fax | 203-552-9578
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Provider Business Mailing Address
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Address Line | 87 GREENWICH AVE
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City | GREENWICH
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State | CT
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Zip | 06830-5521
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Country | US
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Telephone | 203-552-1072
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Fax | 203-552-9578
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARTIN SCHULMAN
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Credential | OPTICIAN
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Telephone | 914-337-0707
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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 | 0000985
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License Number State | CT
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