DR. JACK DEVORE (NPI# 1023098555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023098555 |
| Entity Type | Individual |
| Full Name | DR. JACK DEVORE |
| Credential | O.D. |
| Practice Address |
4 Normanskill Blvd Suite 400 Delmar NY 12054-1335 |
| Practice Telephone | 5184789992 |
| Practice Fax Number | 5184390796 |
| Mailing Telephone | 5184789992 |
| Mailing Fax Number | 5184390796 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | VUT003734 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01419103 | 05 | |
| NY | MVP | 59336 | 01 |
| NY | CDPHP | 10034805 | 01 |
| NY | BS NENY | 000495454001 | 01 |
| NY | RAILRAOD MEDICARE | 410044002 | 01 |
| NY | EMPIRE BC | C6476 | 01 |
| Street Address |
4 NORMANSKILL BLVD SUITE 400 |
| City | DELMAR |
| State | NY |
| Zip Code | 12054-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757544 | Megan Mccabe | Nurse Practitioner | 4 Normanskill Blvd, Delmar, NY 12054-1335 | 2005-08-16 |
| 1285179663 | Savino Chiropractic Pllc | Chiropractor | 4 Normanskill Blvd, Suite 404, Delmar, NY 12054-1335 | 2016-12-21 |
| 1457729337 | Renaissance Dental PC | Dentist | 4 Normanskill Blvd, Delmar, NY 12054-1335 | 2015-09-09 |
| 1497168017 | Gina Marie Ciarmiello | Optometrist | 4 Normanskill Blvd, Suite 400, Delmar, NY 12054-1335 | 2014-06-11 |
| 1528303534 | Gladys A Brusa | Counselor | 4 Normanskill Blvd, Delmar, NY 12054-1335 | 2012-12-02 |
| 1831420934 | Alicia Renee Savino | Chiropractor | 4 Normanskill Blvd, Ste 404, Delmar, NY 12054-1335 | 2010-01-29 |
| 1689833212 | Melissa J Veino | Pediatrics | 4 Normanskill Blvd, Delmar, NY 12054-1335 | 2008-06-09 |
| 1013187178 | Jack Devore, Od | Eyewear Supplier (Equipment, not the service) | 4 Normanskill Blvd, Delmar, NY 12054-1335 | 2008-03-05 |
| 1215159496 | Nancy Noble Gardner | Social Worker | 4 Normanskill Blvd, Delmar, NY 12054-1335 | 2007-05-03 |
| 1578783205 | Prime Care Physicians, P.l.l.c. | Nurse Practitioner | 4 Normanskill Blvd, Delmar, NY 12054-1335 | 2007-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1457825804 | Sharmon Michele Valerian | Physical Therapist | 241 Westchester Dr S, Delmar, NY 12054 | 2019-01-18 |
| 1821519935 | Jody Gail Ference | Occupational Therapist | 700 Delaware Ave., Bethlehem Central School District, Delmar, NY 12054 | 2017-06-28 |
| 1437688181 | Lullaby Lactation | Registered Nurse | 47 Crystal Lane, Delmar, NY 12054 | 2017-06-07 |
| 1306380852 | Katherine Mcguinness | Social Worker | 10 Hallwood Rd Ste D, Delmar, NY 12054 | 2016-12-16 |
| 1427465731 | Judy Marie Wilday | Registered Nurse | 30 Hunter Road, Delmar, NY 12054 | 2014-07-18 |
| 1063772226 | Fabiola Allisson Estrada | Physician Assistant | 99 Delaware Ave # Mc133, Delmar, NY 12054 | 2012-05-22 |
| 1366765075 | Carmen Lewis Panetta Jr. | Pharmacist | 293 Elm Aveune, Delmar, NY 12054 | 2010-03-09 |
| 1164669990 | Caroline Macrae | Speech-Language Pathologist | 16 Axbridge Lane, Delmar, NY 12054 | 2009-01-15 |
| 1316155336 | Sailaja Alapati | Anesthesiology | 18 Salem Road, Delmay, NY 12054 | 2007-05-21 |
| Find all providers in zip 12054 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831277276 | Madge Hinman | Optometrist | 266 Delaware Ave, Delmar, NY 12054-1134 | 2006-11-02 |
| 1790889723 | Stuart M Lazarus | Optometrist | 58 Huntersfield Rd, Delmar, NY 12054-3820 | 2006-09-11 |
| 1497168017 | Gina Marie Ciarmiello | Optometrist | 4 Normanskill Blvd, Suite 400, Delmar, NY 12054-1335 | 2014-06-11 |
| 1255761839 | Kerry Harbeck | Optometrist | 411 Kenwood Ave, 411 Kenwood Ave., Delmar, NY 12054-3231 | 2013-11-19 |
| 1508084096 | Dinapoli and Dinapoli, Inc. | Optometrist | 266 Delaware Ave, Delmar, NY 12054-1134 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770225 | Quality Eye Care Nyc Optometry PC | Optometrist | 1755 Richmond Rd, Staten Island, NY 10306-2558 | 2020-11-02 |
| 1134727860 | Paras Patel | Optometrist | 891 Route 9 Ste 700, Queensbury, NY 12804-1796 | 2020-10-14 |
| 1962009175 | Designer Optical of Plains Parkway | Optometrist | 2196a White Plains Rd, Bronx, NY 10462-1406 | 2020-10-01 |
| 1962018184 | Anna Dobrokhodova | Optometrist | 2425 29th St Apt 3f, Astoria, NY 11102-1642 | 2020-09-22 |
| 1073129813 | Kajal Kirti Patel | Optometrist | 506 Amsterdam Ave Apt 3b, New York, NY 10024-3951 | 2020-09-17 |
| 1538772157 | Wilzen Anne Lingad O.d., Pllc | Optometrist | 4117 Crescent St, Long Island City, NY 11101-3861 | 2020-08-24 |
| 1760095384 | Mk Vision Center I, Inc | Optometrist | 7010 Austin St Ste 2, Forest Hills, NY 11375-4763 | 2020-08-24 |
| 1699387266 | V. Bolbirer Od P.C. | Optometrist | 1721 Avenue M, Brooklyn, NY 11230-5303 | 2020-08-17 |
| 1235749045 | Jessica V Vaidya | Optometrist | 2480 Grand Concourse, Bronx, NY 10458-5201 | 2020-08-06 |
| 1154930881 | Safeera Zafar Bhutta | Optometrist | 36 Lexington Ave, Malverne, NY 11565-2316 | 2020-07-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.