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General NPI Number Information
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NPI Number | 1245698067
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Entity Type | Organization
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Legal Business Name | DIGITAL OPTIKS LLC
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 18116 HILLSIDE AVE
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City | JAMAICA
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State | NY
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Zip | 11432-4852
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Country | US
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Telephone | 718-297-2997
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Fax | 718-880-9849
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Provider Business Mailing Address
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Address Line | 9065 180TH ST PH
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City | JAMAICA
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State | NY
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Zip | 11432-5612
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Country | US
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Telephone | 718-297-2997
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Fax | 718-880-9849
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Authorized Official
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Title or Position | PRESIDENT
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Name | SURESH SANPAUL
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Credential |
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Telephone | 718-297-2997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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