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General NPI Number Information
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NPI Number | 1386089043
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Entity Type | Organization
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Legal Business Name | HIGHLAND OPTICIANS LLC
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 33 LINCOLN ST
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City | NEWTON HIGHLANDS
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State | MA
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Zip | 02461
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Country | US
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Telephone | 617-332-2664
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Fax | 617-332-1218
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Provider Business Mailing Address
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Address Line | 33 LINCOLN ST
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City | NEWTON HIGHLANDS
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State | MA
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Zip | 02461
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Country | US
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Telephone | 617-332-2664
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILIE BRASSIL
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Credential | DISPENSING OPTICIAN
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Telephone | 617-332-2664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 1546
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License Number State | MA
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