| NPI | 1912120783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOHN COTTER Sole Proprietor 802-254-9012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VT 030-0000238) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-10-26 |