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General NPI Number Information
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NPI Number | 1942234273
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Entity Type | Organization
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Legal Business Name | CHARLES I. ORNSTEIN
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 1802 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11229-1308
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Country | US
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Telephone | 718-376-1420
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Fax |
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Provider Business Mailing Address
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Address Line | 1802 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11229-1308
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Country | US
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Telephone | 718-376-1420
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHARLES ORNSTEIN
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Credential | OPHTHALMIC DISPENSER
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Telephone | 718-376-1420
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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 | TUV004505-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 004129-1
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License Number State | NY
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