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General NPI Number Information
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NPI Number | 1679911838
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Entity Type | Organization
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Legal Business Name | EYE-LOOK OPTICAL INC
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 64A MOTT ST
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City | NEW YORK
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State | NY
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Zip | 10013-4811
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Country | US
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Telephone | 917-968-1954
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Fax |
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Provider Business Mailing Address
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Address Line | 64A MOTT ST
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City | NEW YORK
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State | NY
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Zip | 10013-4811
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM LING
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Credential | O.D.
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Telephone | 917-968-1954
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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 | 005834
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 005834
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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