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General NPI Number Information
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NPI Number | 1376169425
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Entity Type | Organization
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Legal Business Name | CONLEY OPTOMETRY SERVICES, PC
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 214 WALL ST STE 100
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City | HUNTINGTON
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State | NY
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Zip | 11743-7804
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Country | US
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Telephone | 516-587-9332
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Fax |
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Provider Business Mailing Address
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Address Line | 2177 MEROKEE DR
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City | MERRICK
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State | NY
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Zip | 11566-3604
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Country | US
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Telephone | 516-587-9332
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ERIC CONLEY
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Credential | OD, MJ
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Telephone | 516-587-9332
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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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