Provider Demographics
NPI:1922370394
Name:JANET ROSS COMSTOCK OD PC
Entity Type:Organization
Organization Name:JANET ROSS COMSTOCK OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS COMSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-266-0280
Mailing Address - Street 1:91 COOPER RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-3003
Mailing Address - Country:US
Mailing Address - Phone:585-266-0280
Mailing Address - Fax:585-467-0927
Practice Address - Street 1:91 COOPER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-3003
Practice Address - Country:US
Practice Address - Phone:585-266-0280
Practice Address - Fax:585-467-0927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV0052791152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP010005279OtherBLUE CHOICE
NYP017237859OtherB CHOICE OPTICAL
101994CSOtherMVP
NY7996368OtherAETNA
NYP04005279OtherBLUE CROSS BLUE SHIELD
NYDD0948OtherMEDICARE ID
NYP017237859OtherB CHOICE OPTICAL
T80572Medicare UPIN