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General NPI Number Information
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NPI Number | 1568286375
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Entity Type | Organization
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Legal Business Name | SEESAW VISION EB LLC
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Dates
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Enumeration Date | 11/09/2024
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 190 STATE ROUTE 18 STE 302
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-1407
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Country | US
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Telephone | 732-247-2847
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Fax |
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Provider Business Mailing Address
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Address Line | 190 STATE ROUTE 18 STE 302
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-1407
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Country | US
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Telephone | 732-247-2847
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | QIONG CHEN
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Credential | OD
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Telephone | 732-247-2847
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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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