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General NPI Number Information
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NPI Number | 1861328106
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Entity Type | Organization
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Legal Business Name | OPTICAL WORLD OF FULTON LLC
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 395 JAY ST
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City | BROOKLYN
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State | NY
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Zip | 11201-5164
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Country | US
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Telephone | 718-887-2660
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Fax | 718-679-9706
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Provider Business Mailing Address
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Address Line | 395 JAY ST
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City | BROOKLYN
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State | NY
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Zip | 11201-5164
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Country | US
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Telephone | 718-887-2660
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Fax | 718-679-9706
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Authorized Official
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Title or Position | OD / PARTNER
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Name | ELENA FELDMAN
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Credential |
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Telephone | 347-842-8871
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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 |
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License Number State |
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