Avery, Russell John
Avery, Russell John is an sole proprietor health care provider with primary practice located at Knauf Optical 235 Vestal Ave., Endicott NY 13760. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Avery, Russell John can be contacted via phone (607) 748-0765.Contact Information
Primary practice address
Knauf Optical 235 Vestal Ave.
Endicott NY 13760
Phone: (607) 748-0765
Fax: (607) 748-0765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 6965 | New York |
Profile Details
| NPI number | 1467598334 |
|---|---|
| LBN Legal business name | Avery, Russell John |
| Credentials | LICENSED OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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