National Provider Identifier

Jill Gavin, OPTICIAN

Jill Gavin, OPTICIAN is listed in the NPPES registry with a primary specialty of Optometrist in Rochester, NY and a listed phone number of (585) 292-6020.

NPI 1467923888Rochester, NYOptometrist

Profile Overview

NPI
1467923888
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
December 11, 2018
Last Updated
December 11, 2018

Practice Location

  • 1200 Marketplace Dr
  • Rochester, NY 14623-6002

Phone: (585) 292-6020

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1467923888
Entity Type
Individual
Last Name
Gavin
First Name
Jill
Credential
OPTICIAN
Mailing Street Address
1200 Marketplace Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-6002
Mailing Country
US
Mailing Phone
(585) 292-6020
Practice Street Address
1200 Marketplace Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-6002
Practice Country
US
Practice Phone
(585) 292-6020
Enumeration Date
December 11, 2018
Last Updated
December 11, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)
Other Identifiers
1679859201 (NY), 1205949534 (NY)