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General NPI Number Information
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NPI Number | 1285439679
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Entity Type | Organization
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Legal Business Name | EYE-KONIC VISION ASSOCIATES, PLLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1355 MAIN ST
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City | HOLDEN
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State | MA
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Zip | 01520-1060
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Country | US
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Telephone | 508-829-6731
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 MAIN ST
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City | HOLDEN
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State | MA
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Zip | 01520-1060
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Country | US
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Telephone | 508-829-6731
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JARED SCARAMUZZI
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Credential | OD
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Telephone | 401-714-1177
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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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