Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD J MAMELOK, LO
Active Sole ProprietorMR. EDWARD J MAMELOK, LO is a Optician, Dispensing healthcare provider located in OLD GREENWICH, Connecticut. NPI 1588702559 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · OLD GREENWICH, CT
Registration Details
- NPI Number
- 1588702559
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2007 (19.569554151683 yrs)
- Last Updated
- Jul 8, 2007
- License
-
001192 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 ARCADIA ROADOLD GREENWICH, CT, 06870Browse CT providers · Browse ZIP 06870
- Phone
- 2036982255
- Fax
- 2036982655
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.