Organization
PROGRESSIVISION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GERARD RAYHER OD (VICE PRESIDENT)
(203) 975-7565
Entity
Organization
Contact information
Practice address
3034 SUMMER ST, STAMFORD, CT 06905-4311
(203) 975-7565
(203) 975-8303
Mailing address
3034 SUMMER ST, STAMFORD, CT 06905-4311
(203) 975-7565
(203) 975-8303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2103
CT
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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