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General NPI Number Information
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NPI Number | 1346196771
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Entity Type | Organization
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Legal Business Name | LONG ISLAND LIGHTHOUSE FOR THE VISUALLY IMPAIRED
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 464 MERRICK RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-1410
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Country | US
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Telephone | 516-208-7596
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Fax | 516-825-0112
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Provider Business Mailing Address
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Address Line | 464 MERRICK RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-1410
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Country | US
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Telephone | 516-208-7596
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Fax | 516-825-0112
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Authorized Official
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Title or Position | LOW VISION REHAB SPECIALIST
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Name | DR. LUCIEN G PRINCE
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Credential | OD/MD
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Telephone | 516-208-7596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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Taxonomy #5
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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Taxonomy #6
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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Taxonomy #7
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number |
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