# CRYSTAL VISION BY DRS. OF OPTOMERTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stowe Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649392259
- **Authorized official:** DR. DOROTHY BRODMANN OD (PRESIDENT)
- **Authorized official phone:** (802) 253-7201

## Contact information

- **Practice address:** 1878 MOUNTAIN RD STE 2, STOWE, VT 05672-4775
- **Practice address phone:** (802) 253-7201
- **Practice address fax:** (802) 253-7522
- **Mailing address:** 1878 MOUNTAIN RD STE 2, STOWE, VT 05672-4775
- **Mailing address phone:** (802) 253-7201
- **Mailing address fax:** (802) 253-7522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | 030-0000300 | VT | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 04/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1012379 | — | VT |
| 01 | — | 1922077916 | NPI | VT |