Individual
DR. MARK WOLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
62 NORTH ST, DANBURY, CT 06810-5620
(203) 792-2020
(203) 792-9998
Mailing address
62 NORTH ST, DANBURY, CT 06810-5620
(203) 792-2020
(203) 792-9998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
711
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588644033
NPI TYPE I
CT
01
—
1639400112
NPI TYPE II
CT
Enumeration date
01/20/2006
Last updated
02/11/2010
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