Individual
RAN HE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., M.S.
Contact information
Practice address
587 HARTFORD AVE, WHITE RIVER JUNCTION, VT 05001
(802) 295-4887
(802) 295-5896
Mailing address
587 HARTFORD AVE, WHITE RIVER JUNCTION, VT 05001-8031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0129293
VT
152W00000X
Optometrist
OEG003147
PA
390200000X
Student in an Organized Health Care Education/Training Program
OEG003147
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009878
—
VT
Enumeration date
06/27/2016
Last updated
06/13/2018
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