Individual
DR. NICHOLAS A PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
331 UPPER PLN UNIT 2, BRADFORD, VT 05033-9207
(802) 222-4543
Mailing address
PO BOX 325, BRADFORD, VT 05033-0325
(802) 222-4543
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VT0300097803
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376282053
ORGANIZATION NPI (TYPE II)
—
Enumeration date
08/19/2013
Last updated
06/10/2022
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