Individual
JUSTIN RAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2046 W MAIN ST STE 2, STAMFORD, CT 06902-4523
(203) 869-3082
Mailing address
2046 W MAIN ST # 2, STAMFORD, CT 06902-4523
(203) 861-9200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003162
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280291
—
NY
Enumeration date
08/19/2011
Last updated
03/02/2021
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