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General NPI Number Information
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NPI Number | 1902771892
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Entity Type | Organization
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Legal Business Name | ROY KLINE OPTOMETRY PLLC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1636 ULSTER AVE
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City | LAKE KATRINE
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State | NY
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Zip | 12449-5420
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Country | US
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Telephone | 845-336-6310
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Fax | 845-336-8573
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Provider Business Mailing Address
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Address Line | 1636 ULSTER AVE
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City | LAKE KATRINE
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State | NY
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Zip | 12449-5420
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Country | US
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Telephone | 845-336-6310
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Fax | 845-336-8573
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROY ANDREW KLINE
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Credential | OD
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Telephone | 518-796-6612
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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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