Jack Devore, Od

LBN: Jack Devore, Od
Jack Devore, Od is an health care organization with primary practice located at 4 Normanskill Blvd , Delmar NY 12054-1335. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Jack Devore, Od can be contacted via phone (518) 478-9992, or through Devore, Jack via phone (518) 478-9992.

Contact Information

Primary practice address
4 Normanskill Blvd Delmar NY 12054-1335
Phone: (518) 478-9992
Fax: (518) 439-0796
Website:
Map and Directions
Authorized official contact:
Name: Devore, Jack Doctor of Optometry (OD)
Phone: (518) 478-9992

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X VUT003734 New York

Profile Details

NPI number 1013187178
LBN Legal business name Jack Devore, Od
DBA Doing business as
Authorized official Devore, Jack Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2008
Last updated Sep 30th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013187178 NPPES
New York Other 410044002 RAILROAD MEDICARE

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