Organization
NORWALK EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S FEDER O.D. (OWNER)
(203) 853-1010
Entity
Organization
Contact information
Practice address
5 EVERSLEY AVE, SUITE 104, NORWALK, CT 06851-5821
(203) 853-1010
(203) 866-0767
Mailing address
5 EVERSLEY AVE, SUITE 104, NORWALK, CT 06851-5821
(203) 853-1010
(203) 866-0767
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1047
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50NOREYECCT01
BLUE CROSS GROUP ID#
CT
Enumeration date
03/25/2009
Last updated
03/11/2010
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