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NPI 1568741635

NPI 1568741635 : EYE-X : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1568741635
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    Entity Type          |    Organization 
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    Legal Business Name  |    EYE-X 
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Dates
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    Enumeration Date     |    08/08/2011
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    1703 SHEEPSHEAD BAY RD 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-3606
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    Country              |    US
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    Telephone            |    718-975-2100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1703 SHEEPSHEAD BAY RD 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-3606
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    Country              |    US
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    Telephone            |    718-975-2100
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. GALINA  BENIMOVICH 
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    Credential           |    OD
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    Telephone            |    718-265-1100
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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       |    TUV6451
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    License Number State |    NY
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