Individual
DR. JASON WINTHROP MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2672 W RIDGE RD, ROCHESTER, NY 14626-3054
(585) 245-0471
(585) 227-6963
Mailing address
2672 W RIDGE RD, ROCHESTER, NY 14626-3054
(585) 245-0471
(585) 227-6963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006526
NY
152W00000X
Optometrist
VUT006526-1
NY
152WC0802X
Corneal and Contact Management Optometrist
VUT006526-1
NY
152WP0200X
Pediatric Optometrist
VUT006526-1
NY
152WV0400X
Vision Therapy Optometrist
VUT006526-1
NY
Other
Enumeration date
07/17/2006
Last updated
08/04/2022
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