Organization
FAMILY EYECARE AND CONTACT LENS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK R CHASSE OD (MEMBER OWNER)
(860) 635-6149
Entity
Organization
Contact information
Practice address
160 WEST ST, CROMWELL, CT 06416
(860) 635-6149
(860) 632-1401
Mailing address
160 WEST STREET, CROMWELL, CT 06416
(860) 635-6149
(860) 632-1401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT939
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04047908
—
CT
Enumeration date
09/10/2007
Last updated
09/22/2010
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