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Individual

JAMES B CRABLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
6353 RIDGE RD, SODUS, NY 14551
(315) 483-8300
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(315) 483-8300

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004274
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027231701
UNIVERA
NY
05
00355266
NY
01
101959CS
PREFERRED CARE
NY
01
11334411
CAQH
NY
01
410049107
MEDICARE RAILROAD
NY
01
P010004274
BLUE CHOICE
NY
Enumeration date
05/24/2006
Last updated
07/22/2019
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