Individual
JUSTIN JOSEPH VERRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2142 PENFIELD RD, PENFIELD, NY 14526
(585) 377-7090
(585) 377-3155
Mailing address
2142 PENFIELD RD, PENFIELD, NY 14526
(585) 377-7090
(585) 377-3155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006260
NY
152W00000X
Optometrist
VUT006260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106339CS
PREFERRED CARE
NY
01
—
1568685113
MEDICARE NSC
NY
01
—
161274164
HEALTH NOW
NY
01
—
7432127
AETNA
NY
01
—
P010006260
DOCTORS HEALTH
NY
01
—
P010106260
BLUE SHIELD
NY
Enumeration date
05/13/2006
Last updated
03/16/2023
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