Organization
RED OPTICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS DEVORE (OWNER/PRESIDENT)
(631) 462-1188
Entity
Organization
Contact information
Practice address
6401 JERICHO TPKE, COMMACK, NY 11725-2832
(631) 462-1188
(631) 462-5127
Mailing address
6401 JERICHO TPKE, COMMACK, NY 11725-2832
(631) 462-1188
(631) 462-5127
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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