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General NPI Number Information
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NPI Number | 1518027440
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Entity Type | Organization
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Legal Business Name | DR.MICHAEL F. SCHWARTZ OPTOMETRIST PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 18 N 3RD AVE
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City | HIGHLAND PARK
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State | NJ
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Zip | 08904-2408
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Country | US
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Telephone | 732-993-1111
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Fax | 732-993-1167
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Provider Business Mailing Address
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Address Line | 18 N 3RD AVE
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City | HIGHLAND PARK
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State | NJ
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Zip | 08904-2408
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Country | US
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Telephone | 732-993-1111
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Fax | 732-993-1167
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | MICHAEL SCHWARTZ
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Credential | O.D.
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Telephone | 732-993-1111
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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 | 27OA00434100
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License Number State | NJ
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