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General NPI Number Information
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NPI Number | 1750331435
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Entity Type | Organization
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Legal Business Name | EYE HEALTH ASSOCIATES INC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 170 MAPLE RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2930
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Country | US
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Telephone | 716-632-2020
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Fax | 716-626-6669
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Provider Business Mailing Address
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Address Line | 170 MAPLE RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2930
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Country | US
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Telephone | 716-632-2020
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Fax | 716-626-6669
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NINA BENDER
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Credential |
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Telephone | 716-632-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1421201R
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License Number State | NY
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