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General NPI Number Information
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NPI Number | 1255200184
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Entity Type | Organization
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Legal Business Name | EYECONIC VISION SI LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1652 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-1577
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Country | US
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Telephone | 718-982-9602
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Fax |
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Provider Business Mailing Address
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Address Line | 3315 NOSTRAND AVE APT L1A
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City | BROOKLYN
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State | NY
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Zip | 11229-3269
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PINCHES DASKAL
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Credential |
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Telephone | 347-731-5877
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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