Organization
MJD OPTICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS DEVORE (OWNER)
(631) 727-7777
Entity
Organization
Contact information
Practice address
1053 ROUTE 58 ROANOKE AVE, RIVERHEAD, NY 11901
(631) 727-7777
Mailing address
1053 ROUTE 58 ROANOKE AVE, RIVERHEAD, NY 11901
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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