# RICHARD A. LANE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northern Eyewear
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417126889
- **Authorized official:** MRS. CAROLYN KENDALL LANE RN (OWNER)
- **Authorized official phone:** (802) 886-3937

## Contact information

- **Practice address:** 441 RIVER STREET, SPRINGFIELD, VT 05156
- **Practice address phone:** (802) 886-3937
- **Practice address fax:** (802) 886-3167
- **Mailing address:** 441 RIVER STREET, PO BOX 830, SPRINGFIELD, VT 05156
- **Mailing address phone:** (802) 886-3937
- **Mailing address fax:** (802) 886-3167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 0420007541 | VT | Yes |

## Other

- **Enumeration date:** 02/29/2008
- **Last updated:** 03/18/2008