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General NPI Number Information
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NPI Number | 1316077712
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Entity Type | Organization
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Legal Business Name | IAR APPLE OPTICAL, INC.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 177 E 86TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-2106
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Country | US
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Telephone | 212-426-1222
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Fax | 212-426-1226
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Provider Business Mailing Address
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Address Line | 177 E 86TH ST
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City | NEW YORK
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State | NY
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Zip | 10028-2106
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Country | US
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Telephone | 212-426-1222
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Fax | 212-426-1226
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Authorized Official
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Title or Position | OWNER
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Name | MR. IGOR RICK
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Credential |
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Telephone | 212-426-1222
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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 | NY TUV006700-1
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License Number State | NY
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