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General NPI Number Information
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NPI Number | 1275315939
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Entity Type | Organization
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Legal Business Name | WERNICK OPTOMETRY PLLC
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Dates
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Enumeration Date | 10/17/2023
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 943 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10021-5107
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Country | US
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Telephone | 405-819-3928
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Fax |
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Provider Business Mailing Address
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Address Line | 91 DIAMOND ST APT 1B
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City | BROOKLYN
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State | NY
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Zip | 11222-7452
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Country | US
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Telephone | 405-819-3928
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. NAT COLE WERNICK
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Credential | OD
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Telephone | 405-819-3928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State |
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