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General NPI Number Information
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NPI Number | 1215077979
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Entity Type | Organization
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Legal Business Name | KWIK VISION
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 340 MIRACLE MILE DR DBA COHENS FASHION OPTICAL
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City | ROCHESTER
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State | NY
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Zip | 14623-5862
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Country | US
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Telephone | 585-475-0250
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Fax | 585-475-1703
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Provider Business Mailing Address
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Address Line | 340 MIRACLE MILE DR DBA COHENS FASHION OPTICAL
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City | ROCHESTER
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State | NY
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Zip | 14623-5862
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Country | US
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Telephone | 585-475-0250
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Fax | 585-475-1703
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM K KWIK
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Credential | O.D.
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Telephone | 585-281-0321
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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 | 006383
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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 | 006383
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License Number State | NY
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