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General NPI Number Information
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NPI Number | 1891411344
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Entity Type | Organization
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Legal Business Name | EVIL EYE OPTOMETRY P.C.
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 243 MAIN ST STE 120
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City | NEW PALTZ
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State | NY
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Zip | 12561-1355
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Country | US
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Telephone | 734-629-6911
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Fax |
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Provider Business Mailing Address
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Address Line | 14 MORSE HEIGHTS RD
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City | HIGHLAND
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State | NY
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Zip | 12528-2411
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Country | US
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Telephone | 734-629-6911
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. BRANDON HARNOS
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Credential | OD
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Telephone | 734-629-6911
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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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