Organization
GOLD COAST EYE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN H WOLANIN O.D. (MEMBER)
(614) 381-1331
Entity
Organization
Contact information
Practice address
5065 MAIN ST, SUITE 1140, TRUMBULL, CT 06611-4204
(203) 374-3211
Mailing address
5065 MAIN ST, SUITE 1140, TRUMBULL, CT 06611-4204
(203) 374-3211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2904
CT
Other
Enumeration date
11/02/2013
Last updated
08/12/2014
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