| NPI | 1629246632 |
|---|---|
| Doing Business As | HERITAGE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | LOIS M SHIOZAWA Doctor 802-223-3761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-06-19 |