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General NPI Number Information
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NPI Number | 1861562118
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Entity Type | Organization
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Legal Business Name | BETTER SIGHT VISION CENTER INC.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 4202 MAIN ST
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City | FLUSHING
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State | NY
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Zip | 11355-3822
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Country | US
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Telephone | 718-539-5888
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Fax | 718-463-2207
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Provider Business Mailing Address
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Address Line | 4202 MAIN ST
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City | FLUSHING
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State | NY
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Zip | 11355-3822
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Country | US
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Telephone | 718-539-5888
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Fax | 718-463-2207
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTIN KORNBLATT
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Credential | O.D.
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Telephone | 718-539-5888
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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 | TUV4300
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License Number State | NY
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