Provider Demographics
NPI:1770530032
Name:ROSS-COMSTOCK, JANET KAY (OD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:KAY
Last Name:ROSS-COMSTOCK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV0052791152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPO4005279OtherBLUE CROSS BLUE SHIELD
NY101994CSOtherPREFERRED CARE
NY7996368OtherAETNA
NYP017237859OtherB CHOICE OPTICAL
NYP010005279OtherBLUE CHOICE
NYPO4005279OtherBLUE CROSS BLUE SHIELD
NY101994CSOtherPREFERRED CARE
NYDD0948Medicare ID - Type Unspecified