Individual
FRANK WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
36 FOUR SEASONS, #202, CHESTERFIELD, MO 63017
(317) 727-7727
Mailing address
36 FOUR SEASONS, #202, CHESTERFIELD, MO 63017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OP1126
FL
152W00000X
Optometrist
OPT003490
GA
152W00000X
Optometrist
Primary
T02190
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310753744
—
MO
01
—
OP1126
FLORIDA OPTOMETRY LICENSE
FL
01
—
OPT003490
GEORGIA OPTOMETRY LICENSE
GA
Enumeration date
08/01/2006
Last updated
02/08/2024
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