Williston Vision Repair Pc

NPI 1538399159 - Optometrist - 152W00000X

NPI Details
NPI 1538399159
Enumeration Date 07/16/2009
Last Updated 07/16/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MICHEAL MICHEAL
Position OWNER/ADMINISTRATOR
Phone (802) 655-6190
Fax
Practice Location
166 SYCAMORE ST
SUITE 150
WILLISTON VT, 05495-8217, US
Phone (802) 655-6190
Fax
Business Location
166 SYCAMORE ST
SUITE 150
WILLISTON VT, 05495-8217, US
Phone (802) 655-6190
Fax
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Williston Vision Repair Pc NPI is 1538399159, taxonomy code is 152W00000X Williston Vision Repair Pc physically located at 166 Sycamore St, Williston VT, 05495-8217. NPI Number 1033115704 has the healthcare provider type.

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1538399159 NPI number is provided on an as is basis without warranty of any kind. 1538399159 is maintained by the National Plan & Provider Enumeration System. The contents of Williston Vision Repair Pc are for informational purposes only.