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General NPI Number Information
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NPI Number | 1164644852
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Entity Type | Organization
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Legal Business Name | OPTOMETRIC EYECARE OF ROCKLAND, P.C.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 35 LAKE RD
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City | CONGERS
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State | NY
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Zip | 10920-2255
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Country | US
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Telephone | 845-267-2888
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Fax | 845-267-3305
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Provider Business Mailing Address
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Address Line | PO BOX 176
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City | CONGERS
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State | NY
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Zip | 10920-0176
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Country | US
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Telephone | 845-267-2888
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Fax | 845-267-3305
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KARL T ENG
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Credential | O.D.
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Telephone | 845-267-2888
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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 | TUV005356
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License Number State | NY
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