Individual
DR. THEODORE MARTIN DEVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6401 JERICHO TPKE, COMMACK, NY 11725-2832
(631) 462-1188
(631) 462-5127
Mailing address
6401 JERICHO TPKE, COMMACK, NY 11725-2832
(631) 462-1188
(631) 462-5127
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3350
NY
Other
Enumeration date
12/12/2006
Last updated
03/22/2024
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