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Individual

DR. JEREMY NORMAN OUTINEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3349 MONROE AVE, ROCHESTER, NY 14618-5513
(585) 381-1613
(585) 381-0718
Mailing address
3349 MONROE AVE, ROCHESTER, NY 14618-5513
(585) 381-1613
(585) 381-0718

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ORT009058
NY
152WC0802X
Corneal and Contact Management Optometrist
ORT009058
NY
152WP0200X
Pediatric Optometrist
ORT009058
NY
152WS0006X
Sports Vision Optometrist
ORT009058
NY
152WV0400X
Vision Therapy Optometrist
ORT009058
NY

Other

Enumeration date
03/10/2018
Last updated
06/07/2024
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