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General NPI Number Information
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NPI Number | 1154886380
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Entity Type | Organization
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Legal Business Name | EYE GENIUS INC
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Dates
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Enumeration Date | 02/01/2019
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Last Update Date | 02/01/2019
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Provider Practice Location Address
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Address Line | 53 1/2 MOTT ST
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City | NEW YORK
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State | NY
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Zip | 10013-5006
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Country | US
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Telephone | 212-788-8898
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Fax | 914-214-1298
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Provider Business Mailing Address
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Address Line | 53 1/2 MOTT ST
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City | NEW YORK
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State | NY
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Zip | 10013-5006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | ARTHUR CHEN
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Credential | OD
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Telephone | 646-573-2039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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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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