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General NPI Number Information
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NPI Number | 1184699100
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Entity Type | Organization
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Legal Business Name | OCEAN EYE ASSOCIATES, INC
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 105 BRICK MALL
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City | BRICK
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State | NJ
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Zip | 08723-4163
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Country | US
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Telephone | 732-341-1600
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Fax | 732-534-0095
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Provider Business Mailing Address
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Address Line | 105 BRICK MALL
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City | BRICK
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State | NJ
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Zip | 08723-4163
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Country | US
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Telephone | 732-341-1600
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST PRESIDENT
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Name | DR. CINDY J FAILLA RADO
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Credential | OD
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Telephone | 732-341-1600
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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 | 27T00068800
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License Number State | NJ
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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 | 270A00536600
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License Number State | NJ
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