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General NPI Number Information
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NPI Number | 1669113627
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Entity Type | Organization
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Legal Business Name | EYE & I EYECARE LLC
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 805 NORTHERN BLVD GROUND LEVEL SUITE 002
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-344-5662
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Fax |
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Provider Business Mailing Address
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Address Line | 805 NORTHERN BLVD GROUND LEVEL SUITE 002
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City | GREAT NECK
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State | NY
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Zip | 11021
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Country | US
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Telephone | 516-344-5662
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRYSTAL HAN
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Credential |
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Telephone | 516-728-0712
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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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