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General NPI Number Information
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NPI Number | 1306955232
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Entity Type | Organization
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Legal Business Name | ISLAND CONTACT LENS CENTER INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 369 E MAIN ST SUITE 6
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City | EAST ISLIP
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State | NY
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Zip | 11730-2800
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Country | US
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Telephone | 631-277-7444
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Fax | 631-277-7325
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Provider Business Mailing Address
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Address Line | 369 E MAIN ST SUITE 6
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City | EAST ISLIP
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State | NY
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Zip | 11730-2800
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Country | US
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Telephone | 631-277-7444
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Fax | 631-277-7325
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Authorized Official
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Title or Position | PRESIDENT
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Name | KALMAN ZABIROWICZ
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Credential | OD
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Telephone | 631-277-7444
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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 | VUT-003811
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License Number State | NY
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