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Individual

DR. JOSEPH PHILIP O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
100 DORSET ST, STE # 25, SOUTH BURLINGTON, VT 05403-6241
(802) 863-3000
(802) 863-3001
Mailing address
100 DORSET ST, STE # 25, SOUTH BURLINGTON, VT 05403-6241
(802) 863-3000
(802) 863-3001

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
328
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3733570
CIGNA HEALTHCARE
VT
01
4125443
MVP HEALTHCARE
VT
01
68019
BLUE CROSS/BLUE SHIELD VT
VT
05
OVN3351
VT
01
P00179942
RAILROAD MEDICARE
VT
Enumeration date
05/24/2005
Last updated
03/04/2010
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