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General NPI Number Information
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NPI Number | 1518360924
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Entity Type | Organization
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Legal Business Name | SACHEM OPTICS INC
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 655 E MONTAUK HWY STE 29
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-3154
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Country | US
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Telephone | 631-576-4499
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Fax | 631-576-4253
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Provider Business Mailing Address
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Address Line | 655 E MONTAUK HWY STE 29
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-3154
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Country | US
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Telephone | 631-576-4499
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Fax | 631-576-4253
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | PATRICIA EDDY
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Credential |
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Telephone | 517-231-4086
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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 |
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License Number State |
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