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General NPI Number Information
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NPI Number | 1922985712
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Entity Type | Individual
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Provider Name | VINAYAK MISHRA OD
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Gender | Male
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 512 W 29TH ST
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City | NEW YORK
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State | NY
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Zip | 10001-1308
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Country | US
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Telephone | 646-791-6467
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Fax |
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Provider Business Mailing Address
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Address Line | 180 ASHLAND PL # 2313
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City | BROOKLYN
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State | NY
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Zip | 11217-1108
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Country | US
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Telephone | 203-909-9643
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 001286
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License Number State | NY
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