NPI 1093853160
John Gerard Martell, OPTOMETRIST
Practice location
- Address
- 155 Dorset St University Mall, South Burlington, VT 05403-6346
- Phone
- (802) 863-3062
- Fax
- (802) 863-6100
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1093853160
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Feb 2007
- Record last updated
- 9 Jul 2007
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.