| NPI | 1083601587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETA M. BOULERICE Office Administrator 802-524-9561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VT 328, 140, 263) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2022-03-11 |