Dr. Mark R. Wolmer, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

711 Issued in CT

Legal business name

DR. MARK R. WOLMER, P.C.

Practice address

62 North St
Danbury, CT 06810-5620

Phone

(203) 792-2020

Fax

(203) 792-9998

NPI assigned

Jan 22, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Richard Wolmer, O.D.

Title

President

Phone

(203) 792-2020

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1639400112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 NORTH ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105620",
            "telephone_number": "203-792-2020",
            "fax_number": "203-792-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 NORTH ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105620",
            "telephone_number": "203-792-2020",
            "fax_number": "203-792-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK R. WOLMER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "WOLMER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-792-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1588644033",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Danbury, CT
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.