Developmental Optometrist PC

NPI #1861885451 in Kenmore, New York

Provider Information

NPI Number: 1861885451
Entity Type: Organization
Organization Name: Developmental Optometrist PC
Primary Specialty: Optometrist
Enumeration Date: Mar 6, 2015
Last Updated: May 27, 2015

Practice Location

Address: 978 COLVIN BLVD
City: Kenmore
State: New York
ZIP Code: 14217-2128
Phone: (716) 871-0074

Authorized Official

Name: DR. MARK JAY GORDON, OD
Title: OWNER
Phone: (716) 871-0074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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