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General NPI Number Information
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NPI Number | 1194880989
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Entity Type | Organization
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Legal Business Name | TROIDL OPTICAL
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 665 CLEVELAND DR
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-1042
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Country | US
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Telephone | 716-836-4949
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Fax | 716-836-1517
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Provider Business Mailing Address
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Address Line | 665 CLEVELAND DR
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-1042
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Country | US
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Telephone | 716-836-4949
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Fax | 716-836-1517
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Authorized Official
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Title or Position | OWNER
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Name | MR. ERIC TROIDL
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Credential |
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Telephone | 716-836-4949
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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 | 3462
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License Number State | NY
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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 | C6329-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 156FC0801X
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Taxonomy Name | Contact Lens Fitter
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License Number | C6329-1
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License Number State | NY
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