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General NPI Number Information
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NPI Number | 1497829303
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Entity Type | Organization
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Legal Business Name | OPTICS BY MARTIN BARRY INC.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 42 PONDFIELD RD
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City | BRONXVILLE
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State | NY
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Zip | 10708-3802
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Country | US
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Telephone | 914-337-0707
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Fax | 914-337-1072
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Provider Business Mailing Address
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Address Line | 42 PONDFIELD RD
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City | BRONXVILLE
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State | NY
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Zip | 10708-3802
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Country | US
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Telephone | 914-337-0707
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Fax | 914-337-1072
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MARTIN H SCHULMAN
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Credential | OPHTHALMIC DISPENSER
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Telephone | 914-337-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | C004472
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License Number State | NY
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