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NPI 1710026166

NPI 1710026166 : HAPPY EYES OPTICAL INC : TONAWANDA, NY

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General NPI Number Information
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    NPI Number           |    1710026166
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAPPY EYES OPTICAL INC 
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Dates
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    Enumeration Date     |    02/05/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1606 NIAGARA FALLS BLVD 
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    City                 |    TONAWANDA
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    State                |    NY
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    Zip                  |    14150-7529
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    Country              |    US
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    Telephone            |    716-834-6666
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    Fax                  |    716-834-6671
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Provider Business Mailing Address
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    Address Line         |    1606 NIAGARA FALLS BLVD 
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    City                 |    TONAWANDA
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    State                |    NY
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    Zip                  |    14150-7529
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    Country              |    US
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    Telephone            |    716-834-6666
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    Fax                  |    716-834-6671
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HOWARD  GILBERT 
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    Credential           |    OPTICIAN
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    Telephone            |    716-834-6666
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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       |    006132-1
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    License Number State |    NY
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