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General NPI Number Information
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NPI Number | 1942721733
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Entity Type | Organization
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Legal Business Name | NEW INSIGHT FAMILY EYE CARE
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1320 W MAIN ST
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City | WATERBURY
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State | CT
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Zip | 06708-3119
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Country | US
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Telephone | 203-755-4941
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Fax | 203-573-8372
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Provider Business Mailing Address
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Address Line | 1320 W MAIN ST
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City | WATERBURY
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State | CT
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Zip | 06708-3119
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Country | US
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Telephone | 203-755-4941
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Fax | 203-573-8372
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. ALBERT E GERMAIN
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Credential | OD
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Telephone | 203-755-4941
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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 | 000896
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License Number State | CT
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