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General NPI Number Information
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NPI Number | 1568375764
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Entity Type | Organization
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Legal Business Name | OPTICHECK EYE MDS LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 3196 KENNEDY BLVD. 2ND FLOOR
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City | UNION CITY
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State | NJ
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Zip | 07087
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Country | US
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Telephone | 908-222-8700
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Fax | 908-222-8721
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Provider Business Mailing Address
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Address Line | 3196 KENNEDY BLVD. 2ND FLOOR
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City | UNION CITY
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State | NJ
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Zip | 07087
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Country | US
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Telephone | 908-222-8700
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Fax | 908-222-8721
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Authorized Official
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Title or Position | MEDICAD DIRECTOR
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Name | ATUL AGALEWALA
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Credential | MD
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Telephone | 808-222-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | NULL
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