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General NPI Number Information
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NPI Number | 1528439437
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Entity Type | Organization
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Legal Business Name | HILTON OPTOMETRY, P.C.
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 50 EAST AVE
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City | HILTON
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State | NY
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Zip | 14468-1332
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Country | US
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Telephone | 585-392-6610
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Fax | 585-392-9186
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Provider Business Mailing Address
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Address Line | 455 WALKER RD
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City | HILTON
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State | NY
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Zip | 14468-9762
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Country | US
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Telephone | 585-727-3937
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL R FRYER
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Credential | O.D.
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Telephone | 585-727-3937
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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 | TUV 005111
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License Number State | NY
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