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General NPI Number Information
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NPI Number | 1699044891
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Entity Type | Organization
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Legal Business Name | ROYAL OPTIX, INC
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 01/31/2021
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Provider Practice Location Address
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Address Line | 7516 3RD AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-3104
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Country | US
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Telephone | 718-836-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 7516 3RD AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-3104
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Country | US
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Telephone | 718-836-8600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRONISLAV MEDNIK
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Credential |
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Telephone | 718-836-8600
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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 | NY008716
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License Number State | NY
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