Corley, Jodi Y
Corley, Jodi Y is an individual health care provider with primary practice located at 2799 Route 112 Davis Vision King Kullen Shopping Center, Medford NY 11763-2535. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Corley, Jodi Y can be contacted via phone (631) 289-3937.Contact Information
Primary practice address
2799 Route 112 Davis Vision King Kullen Shopping Center
Medford NY 11763-2535
Phone: (631) 289-3937
Fax: (631) 209-0913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | VUT0059441 | New York |
Profile Details
| NPI number | 1134163017 |
|---|---|
| LBN Legal business name | Corley, Jodi Y |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 8th, 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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