| NPI | 1487670642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEEN H. KESHAVA President 802-775-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VT 042-0011190) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-06-17 |