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General NPI Number Information
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NPI Number | 1124590963
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Entity Type | Organization
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Legal Business Name | RS EYES INC
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Dates
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Enumeration Date | 12/18/2018
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 38 W BURNSIDE AVE
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City | BRONX
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State | NY
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Zip | 10453-4019
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Country | US
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Telephone | 718-280-1332
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Fax | 718-280-2095
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Provider Business Mailing Address
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Address Line | 38 W BURNSIDE AVE
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City | BRONX
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State | NY
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Zip | 10453-4019
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Country | US
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Telephone | 718-280-1332
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Fax | 718-280-2095
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA MATILDE BETANCOURT
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Credential |
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Telephone | 718-280-1332
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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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