NPI 1831282904

Robert Edward Russo

Practitioner Optician Essex Junction, VT

Practice location

Address: 18 Railroad Street, Essex Junction, VT 05453
Phone: (802) 879-4515
Fax: (802) 879-4515
Mailing address: PO Box 35 18 Railroad Street, Essex Junction, VT 05453

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 14 (VT)

Other Technician/Technologist providers in Vermont →

Registry record

NPI: 1831282904
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
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.