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Jack Devore, Od
Eyewear Supplier in Delmar, New York
NPI 1013187178

Jack Devore, Od is a Eyewear Supplier based in Delmar, NY. Jack Devore, Od practices in Delmar, NY. The NPI Number for Jack Devore, Od is 1013187178 and holds a License No. VUT003734 (New York).

The current practice location address for Jack Devore, Od is 4 Normanskill Blvd, Delmar, NY and can be reached out via phone at 518-478-9992 and via fax at 518-439-0796.

Location: 4 Normanskill Blvd, Delmar, NY, 12054-1335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013187178
Provider Name
Jack Devore, Od
Credential
Provider Entity Type
Organization
Address
4 Normanskill Blvd, Delmar, NY, 12054-1335
Phone Number
518-478-9992
Fax Number
518-439-0796
Provider Enumeration Date
03/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410044002 01 NY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4 Normanskill Blvd
City
Delmar
State
New York
Zip
12054-1335
Phone Number
518-478-9992
Fax Number
518-439-0796
person
Provider Business Mailing Address Details
Address
4 Normanskill Blvd
City
Delmar
State
New York
Zip
12054-1335
Phone Number
518-478-9992
Fax Number
518-439-0796
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
VUT003734 (New York)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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