NPI 1265439723

Herbert T Black, OD

Practitioner Optometrist Brattleboro, VT

Practice location

Address: 1222 Putney Rd, Brattleboro, VT 05301-9000
Phone: (802) 254-6900
Mailing address: 3098 S Ivan Way, Denver, CO 80227-3838

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2081 (CO)

Other Optometrist providers in Vermont →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 030.0069859 (VT)

Registry record

NPI: 1265439723
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2005
Record last updated: 10 Nov 2011

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.