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General NPI Number Information
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NPI Number | 1790797801
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Entity Type | Organization
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Legal Business Name | OPTICAL NEI INC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 12/27/2017
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Provider Practice Location Address
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Address Line | 2450 MEMORIAL HIGHWAY SUITE 6
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City | DALLAS
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State | PA
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Zip | 18612
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Country | US
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Telephone | 570-675-3627
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Fax | 570-675-7320
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Provider Business Mailing Address
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Address Line | 2450 MEMORIAL HIGHWAY SUITE 6
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City | DALLAS
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State | PA
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Zip | 18612
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Country | US
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Telephone | 570-675-3627
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Fax | 570-675-7320
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JOSEPH J CARROLL
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Credential |
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Telephone | 570-342-3145
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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 |
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License Number State |
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