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General NPI Number Information
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NPI Number | 1386460657
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Entity Type | Organization
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Legal Business Name | STARBASE OPTOMETRY, P.C.
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 144 E 44TH ST STE 100
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City | NEW YORK
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State | NY
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Zip | 10017-4008
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Country | US
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Telephone | 212-994-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 255 1ST ST APT 4B
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City | BROOKLYN
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State | NY
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Zip | 11215-1972
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Country | US
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Telephone | 347-693-3937
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Fax |
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Authorized Official
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Title or Position | PRACTICE ONWER / OPTOMETRIST
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Name | DR. SEAN C. FEIN
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Credential | O.D.
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Telephone | 347-693-3937
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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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