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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RUSSELL JOHN AVERY SR., LICENSED OPTICIAN

Active Sole Proprietor

MR. RUSSELL JOHN AVERY SR., LICENSED OPTICIAN is a Optician, Dispensing healthcare provider located in ENDICOTT, New York. NPI 1467598334 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · ENDICOTT, NY

Registration Details

NPI Number
1467598334
Provider Type
Individual
Gender
Male
NPI Issued
Jan 29, 2007 (19.539016830499 yrs)
Last Updated
Jul 9, 2007
License
6965 (NY)
Sole Proprietor
Yes

Practice Information

Address
KNAUF OPTICAL
235 VESTAL AVE.
ENDICOTT, NY, 13760
Browse NY providers · Browse ZIP 13760
Phone
6077480765
Fax
6077480765
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in ENDICOTT, NY

Name Credential NPI
KATHLEEN FERRO WEISS OPHTHA.MIC DISPENSER 1790819365
GEAJINDRADEO JHINGHOOR OPTICIAN 1952425324
PHILIP J. WEINGART 1548401201
RUPEINDER SANDHU 1790410496
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.