Individual
DR. MARY BETH SCHANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
488 MAIN AVE STE 2, NORWALK, CT 06851-1008
(203) 853-9000
(203) 853-1359
Mailing address
488 MAIN AVE STE 2, NORWALK, CT 06851-1008
(203) 853-9000
(203) 853-1359
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002422
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090002422CT01
BLUECROSS BLUESHIELD
CA
01
—
410048557
RAILROAD MEDICARE
—
Enumeration date
06/08/2006
Last updated
10/18/2021
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