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NPI 1518031541

NPI 1518031541 : AM-TON OPTICAL INC. : AMHERST, NY

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General NPI Number Information
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    NPI Number           |    1518031541
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    Entity Type          |    Organization 
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    Legal Business Name  |    AM-TON OPTICAL INC. 
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Dates
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    Enumeration Date     |    11/20/2006
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    Last Update Date     |    06/12/2008
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Provider Practice Location Address
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    Address Line         |    1221 NIAGARA FALLS BLVD BOULEVARD MALL
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    City                 |    AMHERST
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    State                |    NY
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    Zip                  |    14226-1104
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    Country              |    US
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    Telephone            |    716-833-7766
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    Fax                  |    716-833-4520
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Provider Business Mailing Address
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    Address Line         |    1221 NIAGARA FALLS BLVD BOULEVARD MALL
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    City                 |    AMHERST
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    State                |    NY
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    Zip                  |    14226-1104
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    Country              |    US
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    Telephone            |    716-833-7766
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    Fax                  |    716-833-4520
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. DENNIS  OSIAK 
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    Credential           |    
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    Telephone            |    716-833-7766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332H00000X
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    Taxonomy Name        |    Eyewear Supplier
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    License Number       |    VUT0050065
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    License Number State |    NY
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