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General NPI Number Information
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NPI Number | 1255438065
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Entity Type | Organization
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Legal Business Name | OPTECH INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 127 MAIN ST
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City | NEW CANAAN
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State | CT
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Zip | 06840-5507
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Country | US
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Telephone | 203-966-0336
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Fax | 203-966-7969
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Provider Business Mailing Address
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Address Line | 127 MAIN ST
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City | NEW CANAAN
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State | CT
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Zip | 06840-5507
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Country | US
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Telephone | 203-966-0336
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Fax | 203-966-7969
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. JOYCE D KAY
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Credential | LICENSED OPTICIAN
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Telephone | 203-966-3492
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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 | 001194
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License Number State | CT
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