Individual
DR. MARK A LEIPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
282 BERLIN MALL RD, UNIT 4, BERLIN, VT 05602-8292
(802) 223-2090
(802) 223-5336
Mailing address
282 BERLIN MALL RD, UNIT 4, BERLIN, VT 05602-8292
(802) 223-2090
(802) 223-5336
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000303
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN2812
—
VT
Enumeration date
08/20/2006
Last updated
07/08/2007
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