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General NPI Number Information
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NPI Number | 1972727584
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Entity Type | Organization
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Legal Business Name | A & B VISION, INC.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 180 STATE ROUTE 35 S
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City | EATONTOWN
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State | NJ
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Zip | 07724-2023
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Country | US
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Telephone | 732-542-6060
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Fax | 732-389-0069
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Provider Business Mailing Address
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Address Line | 180 STATE ROUTE 35 S
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City | EATONTOWN
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State | NJ
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Zip | 07724-2023
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Country | US
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Telephone | 732-542-6060
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Fax | 732-389-0069
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Authorized Official
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Title or Position | OWNER
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Name | MR. BORIS MAGER
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Credential |
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Telephone | 732-542-6060
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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 | 27OA00254500
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License Number State | NJ
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