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General NPI Number Information
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NPI Number | 1639221930
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Entity Type | Organization
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Legal Business Name | HIGHLAND PARK VISION CENTER P.A.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 590 BROADWAY
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City | BAYONNE
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State | NJ
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Zip | 07002-3826
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Country | US
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Telephone | 201-523-3998
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4466
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City | HIGHLAND PARK
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State | NJ
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Zip | 08904-4466
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Country | US
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Telephone | 732-565-2020
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JAY ZAND
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Credential | O.D.
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Telephone | 732-565-2020
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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 | 27OA00473400
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License Number State | NJ
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