NPI 1053511147

Vermont Optical Corp

Organisation Eyewear Supplier Rutland, VT

Practice location

Address: 69 Allen St Suite 15, Rutland, VT 05701-4564
Phone: (802) 774-5124
Fax: (802) 774-5129

Authorised official

Name: Gregory Chandler Birajiclian
Title: President
Phone: (802) 774-5124

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 028-0000350 (VT)

Other Eyewear Supplier providers in Vermont →

Registry record

NPI: 1053511147
Entity type: Organization
NPI issued: 18 Jul 2007
Record last updated: 2 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.