Organization
EYE GROUP, LLC
Active
Other names
Cohen's Fashion Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY RAO O.D. (OWNER)
(203) 374-3403
Entity
Organization
Contact information
Practice address
5065 MAIN ST, TRUMBULL, CT 06611-4204
(203) 374-3403
(203) 374-3271
Mailing address
5065 MAIN ST, TRUMBULL, CT 06611-4204
(203) 374-3403
(203) 374-3271
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002275
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26953
CONTROLLED SUBSTANCE #
CT
Enumeration date
04/09/2007
Last updated
08/22/2020
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