Individual
JASON COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4738 BROADWAY, NEW YORK, NY 10040-1103
(646) 661-7615
(646) 661-7617
Mailing address
4738 BROADWAY, NEW YORK, NY 10040-1103
(646) 661-7615
(646) 661-7617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006940
NY
Other
Enumeration date
05/29/2007
Last updated
04/24/2020
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