person
Mr. Russell John Avery SR., LICENSEDOPTICIAN
Optician in Endicott, New York
NPI 1467598334

Russell John Avery SR. is a Optician based in Vestal, NY and is specialized in Optician. Russell John Avery SR. practices in Endicott, NY and has the professional credentials of LICENSEDOPTICIAN. The NPI Number for Russell John Avery SR. is 1467598334 and holds a License No. 6965 (New York).

The current practice location address for Russell John Avery SR. is Knauf Optical, Endicott, NY and can be reached out via phone at 607-748-0765 and via fax at 607-748-0765. You can also correspond with Russell John Avery SR. through the mailing address at 2209 GLENWOOD RD, VESTAL, NY - 13850-5715 (mailing address contact number: 607-748-5463).

Location: Knauf Optical, Endicott, NY, 13850-5715
person
Provider Profile Details
NPI Number
1467598334
Provider Name
Russell John Avery SR.
Credential
LICENSEDOPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
Knauf Optical, Endicott, NY, 13850-5715
Phone Number
607-748-0765
Fax Number
607-748-0765
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Knauf Optical
City
State
Zip
13760
Phone Number
607-748-0765
Fax Number
607-748-0765
person
Provider Business Mailing Address Details
Address
Knauf Optical
City
State
Zip
13760
Phone Number
607-748-0765
Fax Number
607-748-0765
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
6965 (New York)
Definition
Definition to come...
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