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Mr. Romeo Velasco Maloco JR., OPTICIAN
Optician in Port Jefferson Station, New York
NPI 1043501927

Romeo Velasco Maloco JR. is a Optician based in Port Jefferson Station, NY and is specialized in Optician. Romeo Velasco Maloco JR. practices in Port Jefferson Station, NY and has the professional credentials of OPTICIAN. The NPI Number for Romeo Velasco Maloco JR. is 1043501927 and holds a License No. C006424-1 (New York).

The current practice location address for Romeo Velasco Maloco JR. is 524 Jefferson Plz, Port Jefferson Station, NY and can be reached out via phone at 631-476-4707.

Location: 524 Jefferson Plz, Port Jefferson Station, NY, 11776-1104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043501927
Provider Name
Romeo Velasco Maloco JR.
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
524 Jefferson Plz, Port Jefferson Station, NY, 11776-1104
Phone Number
631-476-4707
Fax Number
Provider Enumeration Date
04/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
524 Jefferson Plz
City
Port Jefferson Station
State
New York
Zip
11776-1104
Phone Number
631-476-4707
Fax Number
person
Provider Business Mailing Address Details
Address
524 Jefferson Plz
City
Port Jefferson Station
State
New York
Zip
11776-1104
Phone Number
631-476-4707
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens Fitter
Taxonomy
156FC0801X
License No.
C006424-1 (New York)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
C006424-1 (New York)
Definition
Definition to come...
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