NPI 1205049293

Randie Jean Willand, OD

Practitioner Optometrist South Burlington, VT

Practice location

Address: 155 Dorset St, South Burlington, VT 05403-6346
Phone: (802) 863-3062
Fax: (802) 863-6100
Mailing address: 9 Ashford Ln, Waterbury, VT 05676-9085

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 030-304 (VT)

Other Optometrist providers in Vermont →

Registry record

NPI: 1205049293
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2007
Record last updated: 8 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.