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Tyler Maxon, O.D
NPI 1053793034 · on the registry since 2015 · sole proprietor
Practice
- Address
- 228 E Seneca St
Manlius, NY 13104 - Phone
- (760) 819-1141
- Organisation at this address
- Tyler Maxon Optometrist Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York