J. KENT MAURER OD NPI 1437328945

NPI Information

NPI: 1437328945
Provider Name: J. KENT MAURER, OD
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
749 PRE EMPTION RD
GENEVA, NY
ZIP 14456
Phone: (315) 789-8122
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J. KENT MAURER, OD is an eyewear supplier in Geneva, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. J. KENT MAURER, OD NPI is 1437328945. The provider is registered as an organization entity type.

The provider's business location address is:

749 PRE EMPTION RD
GENEVA, NY
ZIP 14456-335
Phone: (315) 789-8122
Fax: (315) 789-0557

The provider's authorized official is John Kent Maurer .
The authorized official title is Optometrist and has the following contact phone number 31577898122.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 2/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		TUV003768-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0594080001	MEDICARE NSC	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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