Individual
FRANK WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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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