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General NPI Number Information
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NPI Number | 1992801120
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Entity Type | Organization
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Legal Business Name | NW VISION EXPRESS INC.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 620 W 181ST ST
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City | NEW YORK
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State | NY
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Zip | 10033-4912
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Country | US
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Telephone | 212-795-7780
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Fax | 212-927-8600
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Provider Business Mailing Address
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Address Line | 620 W 181ST ST
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City | NEW YORK
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State | NY
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Zip | 10033-4912
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Country | US
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Telephone | 212-795-7780
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Fax | 212-927-8600
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. SHARI LYNN HAUSMAN
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Credential | OD
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Telephone | 212-795-7780
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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 | TUV005254-1
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License Number State | NY
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