Organization
SOARES OCULAR SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS J. SOARES M.D. (PRESIDENT)
(802) 728-2460
Entity
Organization
Contact information
Practice address
124 MEADOW LN, RANDOLPH, VT 05060-8952
(802) 728-2460
(802) 728-2457
Mailing address
124 MEADOW LN, RANDOLPH, VT 05060-8952
(802) 728-2460
(802) 728-2457
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
042-0008693
VT
Other
Enumeration date
03/06/2007
Last updated
07/30/2012
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