Theodore M Devore (NPI# 1174684484, PAC ID# 7113087479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1174684484 |
| PAC ID by PECOS | 7113087479 |
| Professional Enrollment ID | I20081118000026 |
| Full Name | Theodore M Devore |
| Address |
6401 Jericho Tpke Commack NY 11725-2832 |
| Gender | M |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1976 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6401 Jericho Tpke, Commack, NY 11725-2832 |
| Street Address |
6401 JERICHO TPKE |
| City | COMMACK |
| State | NY |
| Zip | 11725-2832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eileen M Schnaue-constantouris | Podiatry | 69 Veterans Memorial Highway, Suite 1, Commack, NY 11725 | |
| Jill Sisselman | Family Medicine | Sisselman Medical Group PC | 2171 Jericho Turnpike, Suite 135, Commack, NY 11725 |
| Catherine Gerontis | Ophthalmology | C Corina Gerontis Md PC | 353 Veterams Mem Hwy 102, Commack, NY 11725 |
| Stephen G Sisselman | Internal Medicine | Sisselman Medical Group PC | 2171 Jericho Turnpike, Suite 135, Commack, NY 11725 |
| Denise Ferrazano | Clinical Social Worker | 139 Hayrick Ln, Commack, NY 11725-1520 | |
| Michael Ditkowsky | Optometry | 34 Wenmore Rd, Commack, NY 11725-1638 | |
| Cecilia Capuano King | Podiatry | 52 Roosevelt Ave, Commack, NY 11725-1733 | |
| Alan David Kaplan | Psychologist, Clinical | 40 Annandale Rd, Commack, NY 11725-1745 | |
| Robin A Kaplan | Clinical Social Worker | 40 Annandale Rd, Commack, NY 11725-1745 | |
| Luis Maldonado | Psychiatry | 42 Fleetwood Rd, Commack, NY 11725-1760 | |
| Find all physicians in zip 11725 | |||
| City | COMMACK |
| Zip Code | 11725 |
| Specialty | OPTOMETRY |
| City + Specialty | COMMACK + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.