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General NPI Number Information
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NPI Number | 1770755803
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Entity Type | Organization
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Legal Business Name | EYECARE UNLIMITED, INC.
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 1850 ROUTE 112 SUITE L
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City | CORAM
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State | NY
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Zip | 11727-2232
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Country | US
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Telephone | 631-736-6161
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Fax | 631-736-1912
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Provider Business Mailing Address
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Address Line | 1850 ROUTE 112 SUITE L
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City | CORAM
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State | NY
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Zip | 11727-2232
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Country | US
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Telephone | 631-736-6161
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Fax | 631-736-1912
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD D WEINBERG
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Credential | O.D.
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Telephone | 631-736-6161
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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 | TUV004022-1
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License Number State | NY
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