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General NPI Number Information
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NPI Number | 1194098079
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Entity Type | Organization
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Legal Business Name | EYECARE & EYEWEAR INC.
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 8 DAVISON PLAZA 1ST FL
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City | EAST ROCKAWAY
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State | NY
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Zip | 11518-1545
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Country | US
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Telephone | 516-399-3099
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Fax | 347-772-3032
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Provider Business Mailing Address
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Address Line | 8 DAVISON PLZ 1ST FLOOR
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City | EAST ROCKAWAY
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State | NY
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Zip | 11518-1545
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Country | US
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Telephone | 516-399-3099
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Fax | 347-772-3032
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Authorized Official
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Title or Position | MEMBER
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Name | VINCENTE A CALDERON
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Credential |
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Telephone | 347-717-4117
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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 | TUV 007143
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License Number State | NY
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