Organization
L. H. KIMBALL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDE H. KIMBALL O.D. (MANAGER)
(802) 257-7453
Entity
Organization
Contact information
Practice address
1222 PUTNEY RD, BRATTLEBORO, VT 05301-9000
(802) 257-7453
(802) 254-6900
Mailing address
PO BOX 8427, BRATTLEBORO, VT 05304-8427
(802) 257-7453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030 0000113
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7910 VT
—
VT
01
—
KIMB 077 6175
BCBS
—
01
—
T25392
UPIN
VT
Enumeration date
02/04/2010
Last updated
06/11/2010
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