Organization
INSTITUTE FOR INTEGRATED VISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY SCHULMAN OD (OWNER)
(203) 357-0204
Entity
Organization
Contact information
Practice address
1425 BEDFORD ST STE 1M, STAMFORD, CT 06905-5203
(203) 357-0204
(203) 348-0230
Mailing address
1425 BEDFORD ST STE 1M, STAMFORD, CT 06905-5203
(203) 357-0204
(203) 348-0230
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
2299
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144293317
—
CT
05
—
1144750035
—
CT
05
—
1316469133
—
CT
05
—
1326265562
—
CT
Enumeration date
02/20/2018
Last updated
02/20/2018
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