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General NPI Number Information
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NPI Number | 1609790112
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Entity Type | Organization
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Legal Business Name | NASSAU STREET OPTOMETRY PC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 185 W MERRICK RD
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City | FREEPORT
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State | NY
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Zip | 11520-3712
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Country | US
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Telephone | 516-867-1213
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Fax | 516-867-1214
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Provider Business Mailing Address
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Address Line | 185 W MERRICK RD
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City | FREEPORT
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State | NY
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Zip | 11520-3712
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Country | US
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Telephone | 516-867-1213
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Fax | 516-867-1214
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Authorized Official
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Title or Position | OD/OWNER
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Name | ELENA FELDMAN
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Credential |
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Telephone | 347-842-8871
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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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