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General NPI Number Information
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NPI Number | 1649625484
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Entity Type | Organization
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Legal Business Name | MMA OPTICAL LLC
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 350 RAMAPO VALLEY RD
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City | OAKLAND
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State | NJ
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Zip | 07436-2702
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Country | US
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Telephone | 973-271-4166
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Fax |
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Provider Business Mailing Address
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Address Line | 47 LAYTON RD
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City | SUSSEX
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State | NJ
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Zip | 07461-1807
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Country | US
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Telephone | 973-271-4166
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Fax |
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Authorized Official
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Title or Position | CO-PRESIDENT
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Name | MR. MOHANNAD ZINDAKI
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Credential | L.D.O
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Telephone | 973-271-4166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 31TD00378400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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