| 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 |