MR. Russell John Avery SR., LICENSED OPTICIAN
NPI #1467598334 in Endicott, New York
Provider Information
- NPI Number
- 1467598334
- Entity Type
- Individual
- Name
- MR. Russell John Avery SR., LICENSED OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LICENSED OPTICIAN
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Jul 9, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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