Individual
DR. ROBERT PAUL MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6157 ROUTE 20 E., LAFAYETTE, NY 13084
(315) 677-3193
(315) 677-3196
Mailing address
6157 ROUTE 20 E., LAFAYETTE, NY 13084
(315) 677-3193
(315) 677-3196
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01808557
—
NY
Enumeration date
02/07/2006
Last updated
06/20/2013
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