Individual
DR. REGINA MARIE DEVITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3949 RT. 31, LIVERPOOL, NY 13090
(315) 622-9269
(315) 622-3715
Mailing address
6011 WESTCLIFFE RD, JAMESVILLE, NY 13078-9310
(315) 446-1685
(315) 446-1685
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005610
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000132379
BLUECROSS/BLUESHEILD
NY
01
—
9681598
MVP HEALTHCARE
NY
Enumeration date
10/17/2006
Last updated
07/08/2007
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