Organization
APPLE VALLEY VISION CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W. ELLISON O.D. (MEMBER)
(802) 879-0256
Entity
Organization
Contact information
Practice address
55 MAIN ST, SUITE 1, ESSEX JUNCTION, VT 05452-3191
(802) 879-0256
(802) 879-2401
Mailing address
55 MAIN ST, SUITE 1, ESSEX JUNCTION, VT 05452-3191
(802) 879-0256
(802) 879-2401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000316
VT
Other
Enumeration date
02/05/2007
Last updated
01/31/2008
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