Organization
LEGACY VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON MOORE OD (OPTOMETRIST / OWNER)
(585) 245-0471
Entity
Organization
Contact information
Practice address
2672 W RIDGE RD, ROCHESTER, NY 14626-3054
(585) 245-0471
(585) 227-6963
Mailing address
2672 W RIDGE RD, ROCHESTER, NY 14626-3054
(585) 245-0471
(585) 227-6963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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