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General NPI Number Information
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NPI Number | 1790891018
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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 | 08/21/2006
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Last Update Date | 12/27/2017
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Provider Practice Location Address
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Address Line | 10 1/2 S MOUNTAIN BLVD
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City | MOUNTAIN TOP
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State | PA
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Zip | 18707-1123
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Country | US
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Telephone | 570-403-1341
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Fax | 570-403-3062
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Provider Business Mailing Address
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Address Line | 200 MIFFLIN AVE
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City | SCRANTON
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State | PA
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Zip | 18503-1982
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Country | US
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Telephone | 570-342-3145
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Fax | 570-344-1309
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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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