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General NPI Number Information
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NPI Number | 1821536111
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Entity Type | Organization
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Legal Business Name | MEDICAL EYEGLASS CENTER INC
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 09/21/2017
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Provider Practice Location Address
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Address Line | 176-60 UNION TPK STE 110
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City | FRESH MEADOWS
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State | NY
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Zip | 11366-1526
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Country | US
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Telephone | 718-460-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 127 S EUCLID AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-5116
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Country | US
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Telephone | 908-228-2352
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Fax | 908-264-8061
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT KATZ
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Credential |
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Telephone | 908-228-2352
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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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