NPI 1629254990
Ethan Allen Optical
Practice location
- Address
- 1127 North Ave STE 34, Burlington, VT 05408-2756
- Phone
- (802) 658-6700
Authorised official
- Name
- Christopher Thomas Murtha
- Title
- Optician
- Phone
- (802) 658-6700
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1629254990
- Entity type
- Organization
- NPI issued
- 16 Jan 2008
- Record last updated
- 16 Jan 2008
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.