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General NPI Number Information
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NPI Number | 1235559501
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Entity Type | Organization
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Legal Business Name | DRS-N-SIGHT, INC.
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 100 GRAND AVE. SUITE WITHIN COSTCO
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902
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Country | US
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Telephone | 732-509-3920
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Fax | 732-509-3921
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Provider Business Mailing Address
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Address Line | 18 CORNEILIUS WAY
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City | SOMERSET
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State | NJ
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Zip | 08873
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Country | US
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Telephone | 732-687-9952
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEADRA RICHMOND SANDERS
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Credential | O.D.
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Telephone | 732-687-9952
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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 | 27OM00098600
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License Number State | NJ
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