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General NPI Number Information
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NPI Number | 1801918578
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Entity Type | Organization
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Legal Business Name | CITY EYES CORP
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 02/11/2013
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Provider Practice Location Address
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Address Line | 2 W 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-7517
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Country | US
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Telephone | 212-989-3937
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Fax | 212-462-4483
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Provider Business Mailing Address
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Address Line | 2 W 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-7517
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Country | US
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Telephone | 212-989-3937
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Fax | 212-462-4483
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Authorized Official
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Title or Position | ASSISTANT
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Name | MICHELLE ERICKSEN
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Credential |
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Telephone | 212-989-3937
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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 | TUV006158
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License Number State | NY
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