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General NPI Number Information
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NPI Number | 1528749868
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Entity Type | Organization
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Legal Business Name | GENERAL VISION SERVICES OF STATEN ISLAND LLC
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 2303 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3918
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Country | US
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Telephone | 718-587-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 2303 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3918
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Country | US
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Telephone | 718-587-5660
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Fax |
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Authorized Official
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Title or Position | OD
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Name | ARTHUR VAYNER
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Credential |
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Telephone | 917-202-6624
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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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