DR. Jack Devore, O.D.

NPI #1023098555 in Delmar, New York

Provider Information

NPI Number: 1023098555
Entity Type: Individual
Name: DR. Jack Devore, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 19, 2006
Last Updated: Feb 27, 2008

Practice Location

Address: 4 NORMANSKILL BLVD
Address 2: SUITE 400
City: Delmar
State: New York
ZIP Code: 12054-1335
Phone: (518) 478-9992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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