Organization
THE EYEGLASS STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC L WASSERMAN M.D. (OWNER)
(203) 978-0800
Entity
Organization
Contact information
Practice address
1275 SUMMER STREET, STE 200, STAMFORD, CT 06905
(203) 978-0800
(203) 978-1284
Mailing address
1275 SUMMER STREET, STE 200, STAMFORD, CT 06905
(203) 978-0800
(203) 978-1284
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
001622
CT
Other
Enumeration date
05/03/2007
Last updated
08/22/2008
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