CRYSTAL VISION BY DRS. OF OPTOMERTRY; NPI #1649392259

Contact Information

CRYSTAL VISION BY DRS. OF OPTOMERTRY

1878 MOUNTAIN RD STE 2
STOWE, VT 05672-4775

Phone: 802-253-7201
Fax: 802-253-7522
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for CRYSTAL VISION BY DRS. OF OPTOMERTRY

NPI # 1649392259

LBN Legal business name CRYSTAL VISION BY DRS. OF OPTOMERTRY

Authorized official DOROTHY BRODMANN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/04/2007

Last updated 04/21/2011 - About 15 years ago

Identifiers

VT	License #	030-0000300
VT	Medicaid	1012379
VT	Other	1922077916	NPI

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CRYSTAL VISION BY DRS. OF OPTOMERTRY

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for CRYSTAL VISION BY DRS. OF OPTOMERTRY

Reviews for CRYSTAL VISION BY DRS. OF OPTOMERTRY