| NPI | 1154451300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS J. SOARES President 802-728-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: VT 042-0008693) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-07-30 |