Mr. Russell John Avery Sr., LICENSEDOPTICIAN
Mr. Russell John Avery Sr., LICENSEDOPTICIAN is an Optician in Endicott, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Partly verified
Knauf Optical 235 Vestal AveEndicott, NY 13760
Phone: (607) 748-0765
Fax: (607) 748-0765
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 6965 (NY) |
|---|
Record details
| NPI number | 1467598334 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICENSEDOPTICIAN |
| Sole proprietor | Yes |
| NPI enumerated | January 29, 2007 |
| Last updated in NPPES | July 9, 2007 |
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