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General NPI Number Information
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NPI Number | 1740300847
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Entity Type | Organization
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Legal Business Name | SEIFERT OPTOMETRY PLLC
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 4 SPRINGVILLE RD
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City | HAMPTON BAYS
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State | NY
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Zip | 11946-2290
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Country | US
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Telephone | 631-728-3132
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Fax | 631-728-0976
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Provider Business Mailing Address
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Address Line | 4 SPRINGVILLE RD
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City | HAMPTON BAYS
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State | NY
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Zip | 11946-2290
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Country | US
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Telephone | 631-728-3132
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Fax | 631-728-0976
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Authorized Official
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Title or Position | OWNER
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Name | DR. GLENN ALBERT SEIFERT
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Credential | O.D.
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Telephone | 631-728-3132
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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 | 003485
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License Number State | NY
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