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General NPI Number Information
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NPI Number | 1487759668
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Entity Type | Organization
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Legal Business Name | THE PERFECT EYE INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 06/27/2012
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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 | PRESIDENT
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Name | MR. PETER VARGA
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Credential | OPHTHALMIC DISPENSER
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 4196
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License Number State | NY
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