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General NPI Number Information
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NPI Number | 1205861176
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Entity Type | Organization
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Legal Business Name | AKRON OPTICAL SHOP INC.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 55 MAIN ST
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City | AKRON
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State | NY
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Zip | 14001-1239
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Country | US
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Telephone | 716-542-2002
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Fax |
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Provider Business Mailing Address
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Address Line | 55 MAIN ST
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City | AKRON
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State | NY
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Zip | 14001-1239
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Country | US
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Telephone | 716-542-2002
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. GINA LEE SAROW
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Credential |
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Telephone | 716-542-2002
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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 | T004942
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License Number State | NY
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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 | T002702-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 006922-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV005016-1
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License Number State | NY
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