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General NPI Number Information
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NPI Number | 1922217355
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Entity Type | Organization
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Legal Business Name | METROPOLITAN VISION OPTOMETRY PLLC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 22 W 13TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-7902
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Country | US
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Telephone | 212-807-0019
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Fax | 212-727-2395
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Provider Business Mailing Address
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Address Line | 22 W 13TH ST
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City | NEW YORK
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State | NY
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Zip | 10011-7902
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Country | US
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Telephone | 212-807-0019
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Fax | 212-727-2395
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. LAURA M PRAK
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Credential |
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Telephone | 212-807-0019
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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 | TUV006825-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | TUV006664-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV006641-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | TUV003280-1
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License Number State | NY
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