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General NPI Number Information
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NPI Number | 1922647163
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Entity Type | Organization
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Legal Business Name | EYESMATE OPTICAL INC
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 181 CANAL ST
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City | NEW YORK
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State | NY
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Zip | 10013-4512
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Country | US
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Telephone | 212-925-8181
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Fax | 212-941-8428
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Provider Business Mailing Address
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Address Line | 181 CANAL ST
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City | NEW YORK
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State | NY
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Zip | 10013-4512
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Country | US
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Telephone | 212-925-8181
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Fax | 212-941-8428
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Authorized Official
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Title or Position | MANAGER
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Name | MR. CHUNG YIN YAU
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Credential | OPTICIAN
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Telephone | 212-925-8181
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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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