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NPI 1447174958

NPI 1447174958 : RICHMOND OPTOMETRY PC : STATEN ISLAND, NY

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General NPI Number Information
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    NPI Number           |    1447174958
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    Entity Type          |    Organization 
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    Legal Business Name  |    RICHMOND OPTOMETRY PC 
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Dates
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    Enumeration Date     |    08/06/2026
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    Last Update Date     |    08/06/2026
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Provider Practice Location Address
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    Address Line         |    4338 AMBOY RD 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10312-3820
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    Country              |    US
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    Telephone            |    718-494-1319
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    Fax                  |    347-630-7319
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Provider Business Mailing Address
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    Address Line         |    4338 AMBOY RD 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10312-3820
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    Country              |    US
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    Telephone            |    718-494-1319
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    Fax                  |    347-630-7319
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Authorized Official
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    Title or Position    |    OD/OWNER
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    Name                 |     ELENA  FELDMAN 
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    Credential           |    
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    Telephone            |    718-494-1319
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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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