Individual
JOHN KENT MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
749 PRE EMPTION RD, GENEVA, NY 14456-1335
(315) 789-8122
(315) 789-0557
Mailing address
749 PRE EMPTION RD, P.O. BOX 231, GENEVA, NY 14456-1335
(315) 789-8122
(315) 789-0557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003768-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00451827
—
NY
Enumeration date
01/19/2006
Last updated
01/28/2008
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