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General NPI Number Information
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NPI Number | 1366872392
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Entity Type | Organization
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Legal Business Name | EYE EXAM PLUS
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 40 INTERNATIONAL DR S
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City | FLANDERS
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State | NJ
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Zip | 07836-4106
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Country | US
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Telephone | 201-869-2020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 111
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-0111
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Country | US
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Telephone | 551-580-3512
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | YOLANDA CZERNIAWSKI
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Credential | OD
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Telephone | 551-580-3512
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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 |
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License Number State |
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