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

JEROME EARL BRISLIN, O.D.

Active Sole Proprietor

JEROME EARL BRISLIN, O.D. is a Optometrist healthcare provider located in PARISH, New York. NPI 1619000353 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PARISH, NY

Registration Details

NPI Number
1619000353
Provider Type
Individual
Gender
Male
NPI Issued
Mar 13, 2007 (19.417979192037 yrs)
Last Updated
Jul 8, 2007
License
002464 (NY)
Sole Proprietor
Yes

Practice Information

Address
577 DUTCH HILL RD
PARISH, NY, 131313167
Browse NY providers · Browse ZIP 13131
Phone
3156257533
Fax
3156257533
Primary Specialty
Optometrist
152W00000X
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.