# CENTRAL VERMONT EYE CARE, P.C.

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

## Provider details

- **NPI number:** 1487670642
- **Authorized official:** DR. PRAVEEN H. KESHAVA M.D. (PRESIDENT)
- **Authorized official phone:** (802) 775-0038

## Contact information

- **Practice address:** 69 ALLEN STREET, SUITE 15, RUTLAND, VT 05701
- **Practice address phone:** (802) 775-0038
- **Practice address fax:** (802) 747-0602
- **Mailing address:** 69 ALLEN STREET, SUITE 15, RUTLAND, VT 05701
- **Mailing address phone:** (802) 775-0038
- **Mailing address fax:** (802) 747-0602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 042-0011190 | VT | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 06/17/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1012868 | — | VT |
