Individual
JEFFREY WEISSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2824 E HENRIETTA RD, HENRIETTA, NY 14467-9322
(585) 334-7262
Mailing address
2824 E HENRIETTA RD, HENRIETTA, NY 14467-9322
(585) 334-7262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005155-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100173CS
PREFERRED CARE
NY
01
—
5833511
AETNA
NY
01
—
P010005155
EXCELLUS
NY
05
—
P010005155
—
NY
Enumeration date
01/04/2007
Last updated
03/10/2010
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