NPI | 1659347508 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN J PHIPPS Partner 802-748-8126 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-02-28 |
Last Update Date | 2013-04-23 |