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General NPI Number Information
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NPI Number | 1386717346
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Entity Type | Organization
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Legal Business Name | OLIVOS VISION CENTER
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11615 JAMAICA AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2433
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Country | US
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Telephone | 718-847-9898
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Fax | 718-847-9345
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Provider Business Mailing Address
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Address Line | 11615 JAMAICA AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2433
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Country | US
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Telephone | 718-847-9898
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Fax | 718-847-9345
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSE L OLIVOS
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Credential | OPTICIAN
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Telephone | 718-847-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1100X
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Taxonomy Name | Ophthalmic Technician/Technologist
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License Number | 6871
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 6871
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License Number State | NY
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