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General NPI Number Information
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NPI Number | 1669277760
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Entity Type | Organization
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Legal Business Name | JAYA VISION, PC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 200 FEDERAL RD
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City | BROOKFIELD
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State | CT
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Zip | 06804-2514
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Country | US
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Telephone | 203-740-7623
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Fax |
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Provider Business Mailing Address
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Address Line | 407 STRAWBERRY HILL AVE
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City | STAMFORD
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State | CT
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Zip | 06902-2513
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Country | US
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Telephone | 857-271-9190
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Fax |
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Authorized Official
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Title or Position | OPTOMETRY OWNER
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Name | SHREYA JAYASIMHA
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Credential | OD
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Telephone | 857-271-9190
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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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