Organization
J. KENT MAURER, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KENT MAURER OD (OPTOMETRIST)
31577898122
Entity
Organization
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
332H00000X
Eyewear Supplier
Primary
TUV003768-1
NY
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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