Jack Devore, OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

VUT003734 Issued in NY

Legal business name

JACK DEVORE, OD

Practice address

4 Normanskill Blvd
Delmar, NY 12054-1335

Phone

(518) 478-9992

Fax

(518) 439-0796

NPI assigned

Mar 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jack Devore, OD

Title

Owner

Phone

(518) 478-9992

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Marie Ciarmiello, OD

  • Optometrist
  • Delmar, NY
  • NPI 1497168017
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1013187178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NORMANSKILL BLVD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541335",
            "telephone_number": "518-478-9992",
            "fax_number": "518-439-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORMANSKILL BLVD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541335",
            "telephone_number": "518-478-9992",
            "fax_number": "518-439-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK DEVORE, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-478-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "VUT003734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410044002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hutton
• Kenneth Ihenetu, PHD, DABCC, FACB
• Neil H Inhaber, MD
• Integrative Medical Associates of New York, PLLC
• Robert T. Irwin, DC
• Amanda R Jones, PA-C
• Sheila Alise Jones, REGISTERED NURSE
• Joseph a Manzi DPM
• Julie Morgan Nutrition LLC
• Amy Helen Kage

• Eyewear Supplier in Delmar, NY
• Providers in Delmar, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.