Individual
DR. DAVID JOHN VINCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6 HEADWATERS PLZ, ADIRONDACK EYE CARE, BOONVILLE, NY 13309-1300
(315) 942-2122
(315) 942-2084
Mailing address
6 HEADWATERS PLZ, BOONVILLE, NY 13309-1300
(315) 942-2122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006918
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215036405
GROUP NPI
NY
Enumeration date
07/21/2005
Last updated
09/03/2009
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