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General NPI Number Information
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NPI Number | 1295895548
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Entity Type | Organization
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Legal Business Name | JULES VISION CENTER
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Dates
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Enumeration Date | 12/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1300 ULSTER AVE JULES VISION CENTER SUITE 259
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City | KINGSTON
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State | NY
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Zip | 12401
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Country | US
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Telephone | 845-336-4141
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Fax | 866-447-1426
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Provider Business Mailing Address
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Address Line | 1300 ULSTER AVE JULES VISION CENTER SUITE 259
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City | KINGSTON
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State | NY
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Zip | 12401
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Country | US
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Telephone | 845-336-4141
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Fax | 866-447-1426
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. KEVIN M ALLFREY
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Credential | OD
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Telephone | 845-336-4141
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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 | TUV0036181
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License Number State | NY
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