# RUTLAND EYE PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164669776
- **Authorized official:** VERED SOBEL M.D (OWNER)
- **Authorized official phone:** (802) 773-2020

## Contact information

- **Practice address:** 73 CENTER ST, RUTLAND, VT 05701-4046
- **Practice address phone:** (802) 773-2020
- **Mailing address:** 73 CENTER ST, RUTLAND, VT 05701-4046
- **Mailing address phone:** (802) 773-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 042-0011634 | VT | Yes |

## Other

- **Enumeration date:** 01/20/2009
- **Last updated:** 01/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1015424 | — | VT |
| 01 | — | 1962450742 | BCBS | VT |