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Organization

NDE GROUP PLLC

Active
Other names
Apple Valley Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHAN LEE STOCKE O.D. (OPTOMETRIST/OWNER)
(802) 879-0256
Entity
Organization

Contact information

Practice address
55 MAIN ST, SUITE 1, ESSEX JUNCTION, VT 05452-6100
(802) 879-0256
(802) 879-2401
Mailing address
55 MAIN ST, SUITE 1, ESSEX JUNCTION, VT 05452-6100
(802) 879-0256
(802) 879-2401

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030.0063969
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017443
VT
Enumeration date
03/29/2010
Last updated
06/25/2010
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