Organization
ADVANCED EYECARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. LAPENTA M.D. (VICE PRESIDENT/SECRETARY)
(802) 447-8700
Entity
Organization
Contact information
Practice address
5222 MAIN ST, MANCHESTER CENTER, VT 05255-9700
(802) 366-8051
Mailing address
5222 MAIN ST, MANCHESTER CENTER, VT 05255-9700
(802) 366-8051
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/10/2007
Last updated
09/27/2011
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