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General NPI Number Information
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NPI Number | 1740702992
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Entity Type | Organization
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Legal Business Name | EYE AND VISION CENTERS
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 862 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10460-4201
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Country | US
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Telephone | 347-657-6227
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Fax |
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Provider Business Mailing Address
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Address Line | 862 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10460-4201
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Country | US
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Telephone | 347-657-6227
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MS. JACQUELINE MENDEZ
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Credential |
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Telephone | 718-484-9112
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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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