Individual
DR. CHARLES ALAN MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
927 ETHAN ALLEN HIGHWAY, SUITE 4, GEORGIA, VT 05468-9746
(802) 527-1126
(802) 524-7010
Mailing address
PO BOX 2066, MILTON, VT 05468-2066
(802) 527-1126
(802) 524-7010
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
VT 187
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006609
—
VT
Enumeration date
08/31/2006
Last updated
06/29/2016
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