Organization
WAYNE M. LEVASSEUR, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE MICHAEL LEVASSEUR O.D. (OPTOMETRIST)
(860) 688-1630
Entity
Organization
Contact information
Practice address
186 BROAD ST, WINDSOR, CT 06095-2925
(860) 688-1630
(860) 687-1324
Mailing address
186 BROAD ST, WINDSOR, CT 06095-2925
(860) 688-1630
(860) 687-1324
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
900
CT
Other
Enumeration date
03/03/2008
Last updated
04/10/2008
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