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General NPI Number Information
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NPI Number | 1477635142
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Entity Type | Organization
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Legal Business Name | WASHINGTON HEIGHTS OPTICAL INC.
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4211 BROADWAY GEORGE WASHINGTON BRIDGE BUS STATION
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City | NEW YORK
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State | NY
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Zip | 10033-3747
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Country | US
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Telephone | 212-928-9590
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Fax | 212-569-9100
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Provider Business Mailing Address
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Address Line | 8 BIRDIE RD
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City | MONTEBELLO
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State | NY
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Zip | 10901-3940
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Country | US
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Telephone | 845-357-3284
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Fax | 212-569-9100
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Authorized Official
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Title or Position | OWNER
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Name | NORICE ORMSBY
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Credential |
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Telephone | 212-928-9590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1202X
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Taxonomy Name | Optometric Technician
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License Number |
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License Number State |
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