Organization
OPTICAL EXPRESSIONS, INC.
Active
Other names
Optical Expressions Berlin
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY BUTKOVICH (OFFICE MANAGER)
(802) 748-3536
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1309010002
DMERC SUPPLIER NUMBER
VT
Enumeration date
10/18/2006
Last updated
08/22/2020
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