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General NPI Number Information
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NPI Number | 1174556708
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Entity Type | Organization
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Legal Business Name | METRO OPTICS EYEWEAR, INC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 1332 METROPOLITAN AVE SUITE D
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City | BRONX
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State | NY
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Zip | 10462-7978
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Country | US
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Telephone | 718-829-5605
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Fax | 718-829-6632
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Provider Business Mailing Address
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Address Line | 1332 METROPOLITAN AVE SUITE D
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City | BRONX
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State | NY
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Zip | 10462-7978
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Country | US
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Telephone | 718-829-5605
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Fax | 718-829-6632
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Authorized Official
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Title or Position | VICE PRESIDENT / OPTOMETRIST
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Name | DR. EVA YAN
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Credential | O. D.
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Telephone | 718-829-5605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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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 | 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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