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General NPI Number Information
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NPI Number | 1366603300
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Entity Type | Organization
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Legal Business Name | SENECA OPTICAL INC.
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 03/03/2017
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Provider Practice Location Address
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Address Line | 1900 RIDGE RD SUITE 101
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City | WEST SENECA
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State | NY
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Zip | 14224-3332
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Country | US
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Telephone | 716-677-9800
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Fax | 716-712-0986
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Provider Business Mailing Address
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Address Line | 1900 RIDGE RD SUITE 101
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City | WEST SENECA
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State | NY
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Zip | 14224-3332
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Country | US
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Telephone | 716-677-9800
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Fax | 716-712-0986
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. MICHAEL F HONEYMAN
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Credential | OD
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Telephone | 716-833-7766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | T005065
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License Number State | NY
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