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Organization

RAFFAELE INC

Active
Other names
Pearle Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. YEHUDA EDDIE ELIAS LICENCED OPTICIAN (OWNER)
(203) 281-4330
Entity
Organization

Contact information

Practice address
2100 DIXWELL AVE, SUITE 16, HAMDEN, CT 06514
(203) 281-4330
(203) 288-4018
Mailing address
2100 DIXWELL AVENUE, SUITE 16, HAMDEN, CT 06514
(203) 281-4330
(203) 288-4018

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001532
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100001532CT01
BLUE CROSS
CT
01
102188
EYE MED
CT
01
21119
AVESIS
CT
Enumeration date
03/20/2007
Last updated
07/15/2008
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