# MOULTONS SPECTACLE SHOPPE

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

## Provider details

- **NPI number:** 1679596753
- **Authorized official:** PROF. ROBERT ROY MOULTON OPTICION (OWNER)
- **Authorized official phone:** (802) 442-8002

## Contact information

- **Practice address:** 463 MAIN ST, BENNINGTON, VT 05201-2141
- **Practice address phone:** (802) 442-8002
- **Practice address fax:** (802) 447-2957
- **Mailing address:** 463 MAIN ST, BENNINGTON, VT 05201-2141
- **Mailing address phone:** (802) 442-8002
- **Mailing address fax:** (802) 447-2957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 05/22/2008