Mr. Romeo Velasco Maloco Jr., OPTICIAN

Individual provider Contact Lens Fitter · NPI 1043501927

Mr. Romeo Velasco Maloco Jr., OPTICIAN is a Contact Lens Fitter in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in: NY
In the registry since: 2011
Specialties on file: 2

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Practice location Address checks out

524 Jefferson Plz
Port Jefferson Station, NY 11776-1104
Phone: (631) 476-4707

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary)	Taxonomy 156FX1800X · Licence C006424-1 (NY)
Contact Lens Fitter	Taxonomy 156FC0801X · Licence C006424-1 (NY)

Record details

NPI number	1043501927
Entity type	Individual (Type 1)
Gender	Male
Credentials	OPTICIAN
Sole proprietor	Yes
NPI enumerated	April 26, 2011
Last updated in NPPES	April 26, 2011