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NPI 1821127648

NPI 1821127648 : EYE GOT U, INC. : JAMAICA, NY

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General NPI Number Information
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    NPI Number           |    1821127648
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    Entity Type          |    Organization 
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    Legal Business Name  |    EYE GOT U, INC. 
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Dates
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    Enumeration Date     |    03/05/2007
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    Last Update Date     |    01/30/2024
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Provider Practice Location Address
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    Address Line         |    16328 JAMAICA AVE 
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    City                 |    JAMAICA
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    State                |    NY
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    Zip                  |    11432-4912
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    Country              |    US
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    Telephone            |    718-465-9500
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    Fax                  |    715-465-9501
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Provider Business Mailing Address
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    Address Line         |    16334 JAMAICA AVE 
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    City                 |    JAMAICA
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    State                |    NY
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    Zip                  |    11432-4912
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    Country              |    US
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    Telephone            |    718-465-9500
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    Fax                  |    718-465-9501
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. LEIGH  KOCH 
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    Credential           |    
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    Telephone            |    516-279-9040
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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       |    NY TUV006759-1
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    License Number State |    NY
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